SHRI RAM MURTI SMARAK

INSTITUTE OF MEDICAL SCIENCES

BAREILLY
(MEDICAL COLLEGE & HOSPITAL)

SCHEDULE OF CHARGES
upto 12/09/2023

Estd. & Run by:

SHRI RAM MURTI SMARAK TRUST
BAREILLY

INSTITUTE : 13.2 KM BAREILLY-NAINITAL ROAD, BAREILLY (INDIA) PH: (0581)-2582014-25, Fax: (0581)-2582010
HEAD OFFICE : N-3 RAMPUR GARDEN, BAREILLY (INDIA) PH: (0581)-2567571, 2567724, Fax: (0581)-2567792
 SRMS IMS BAREILLY
RATE LIST OF OPD REGISTRATION

S.NO. PARTICULAR AMT

SPECIALTY OPD REGISTRATION CHARGES

1 REGISTRATION (VALID FOR SINGLE DAY) 20.00

2 DOCTOR CONSULTATION FEES FREE

PAIN CLINIC OPD REGISTRATION CHARGES

1 REGISTRATION (VALID FOR SINGLE DAY) 20.00

2 DOCTOR CONSULTATION FEES FREE

EMERGENCY REGISTRATION CHARGES

1 REGISTRATION (VALID FOR SINGLE DAY) 40.00

2 DOCTOR CONSULTATION FEES FREE

OPD WITH APPOINTMENT OR AFTER 02:00 PM FOR SPECIALTY OPD

1 REGISTRATION (VALID FOR SINGLE DAY) 20.00

2 DOCTOR CONSULTATION FEES 150.00

ON LINE REGISTRATION CHARGES FOR SPECIALTY DEPARTMENT

1 ON LINE NORMAL REGISTRATION CHARGES FOR SPECIATLY- MORNING HRS 20.00

2 PRIORITY APPOINT REGISTRATION CHARGES FOR SPECIATLY- MORNING HRS (VALID FOR 05 DAYS) 200.00

3 ON LINE NORMAL REGISTRATION CHARGES FOR SPECIATLY- EVENING HRS (VALID FOR 05 DAYS) 180.00

4 PRIORITY APPOINT REGISTRATION CHARGES FOR SPECIATLY- EVENING HRS (VALID FOR 05 DAYS) 300.00

A. OPD REG. CHARGES FOR PAEDIATRICS SURGERY, PLASTIC SURGERY, GASTRO SURGERY, ONCO SURGERY & CTVS DEPTT.

1 REGISTRATION (VALID FOR FIVE DAYS) 150.00

2 DOCTOR CONSULTATION FEES FREE

OPD WITH APPOINTMENT OR AFTER 02:00 PM FOR SUPER SPECIALTY OPD

1 REGISTRATION (VALID FOR FIVE DAYS) 150.00

2 DOCTOR CONSULTATION FEES 150.00

ON LINE REGISTRATION CHARGES FOR SUPER SPECIALTY DEPARTMENT

1 ON LINE NORMAL REGISTRATION CHARGES FOR SUPER SPECIATLY- MORNING HRS (VALID FOR 05 DAYS) 150.00

2 PRIORITY APPOINT REGISTRATION CHARGES FOR SUPER SPECIATLY- MORNING HRS (VALID FOR 05 DAYS) 300.00

3 ON LINE NORMAL REGISTRATION CHARGES FOR SUPER SPECIATLY- EVENING HRS (VALID FOR 05 DAYS) 300.00

4 PRIORITY APPOINT REGISTRATION CHARGES FOR SUPER SPECIATLY- EVENING HRS (VALID FOR 05 DAYS) 500.00

B. OPD REGISTRATION CHARGES FOR OTHER SUPER SPECIALTY DEPARTMENTS

1 REGISTRATION (VALID FOR FIVE DAYS) 200.00

2 DOCTOR CONSULTATION FEES FREE

OPD WITH APPOINTMENT OR AFTER 02:00 PM FOR SUPER SPECIALTY OPD

1 REGISTRATION (VALID FOR FIVE DAYS) 200.00

2 DOCTOR CONSULTATION FEES 150.00

ON LINE REGISTRATION CHARGES FOR SUPER SPECIALTY DEPARTMENT

1 ON LINE NORMAL REGISTRATION CHARGES FOR SUPER SPECIATLY- MORNING HRS (VALID FOR 05 DAYS) 200.00

2 PRIORITY APPOINT REGISTRATION CHARGES FOR SUPER SPECIATLY- MORNING HRS (VALID FOR 05 DAYS) 400.00

3 ON LINE NORMAL REGISTRATION CHARGES FOR SUPER SPECIATLY- EVENING HRS (VALID FOR 05 DAYS) 400.00
 4 PRIORITY APPOINT REGISTRATION CHARGES FOR SUPER SPECIATLY- EVENING HRS (VALID FOR 05 DAYS) 500.00

OTHERS REGISTRATION CHARGES

1 THALASSEMIA PATIENT REGISTRATION (VALID FOR SINGLE DAY) 20.00

2 SSY REGISTRATION (ONE TIME) 50.00

3 SSY YOJNA DOUBLE (FOR ONE YEAR) 565.00

4 IPD Registration Charges (Gen. Ward/EMG Ward) 500.00

5 IPD Registration Charges (Gen. A.C. Ward/Semi Pvt./Private/Deluxe/ICU/ICCU/CCW) 1000.00

INACTIVE FROM SOFTWARE:

1 DIABETIC CLINIC (ONE MONTH) 120.00
2 HEART HEALTH CARE (H.H.C) REGISTRATION 1000.00
3 CHILD DEVELOPMENT & NUTRITION CLINIC 25.00
4 DIABETIC CLINIC REGISTRATION CHARGES (VALID FOR TWO VISITS) 200.00
5 SSY YOJNA REG. - SINGLE 250.00
6 SSY YOJNA REG. - TRIPLET 500.00
 SRMS IMS BAREILLY.
RATE LIST OF BED & CONSULTANT FEE

BED CONSULTAN TOTAL

S.No PARTICULAR T
CHARGES/DAY PER DAY
FEES/DAY
1 GENERAL WARD NON A/C 400.00 200.00 600.00
2 EMERGENCY WARD (GRR) 400.00 200.00 600.00
3 GENERAL WARD A/C 950.00 300.00 1250.00
4 SEMI PRIVATE 1850.00 500.00 2350.00
5 PRIVATE WARD 1st FLOOR 3500.00 750.00 4250.00
6 PRIVATE WARD 2ND FLOOR 3500.00 750.00 4250.00
7 DELUXE 4000.00 900.00 4900.00
8 DELUXE EXECUTIVE 4750.00 1000.00 5750.00
9 SUPER DELUXE 6000.00 1250.00 7250.00
10 CARDIAC HDU 3150.00 750.00 3900.00
11 CARDIAC CARE WARD (CCW) 950.00 350.00 1300.00
12 I.C.U.(For 24 Hrs) 7875.00 1500.00 9375.00
13 I.C.U.(For Maxi. 12 Hrs) 5250.00 1500.00 6750.00
14 ICU HDU (ICU STEP DOWN) 4200.00 1000.00 5200.00
15 ICU (FOR MAXI. 12HRS) 5250.00 1050.00 6300.00
16 NICU Bed Charges 2500.00 1000.00 3500.00
17 PICU Bed Charges 3500.00 1000.00 4500.00
18 PHOTOTHERAPY 600.00 100.00 700.00
19 FREE BED CHARGES(MAINTAINANCE CHARGES) 100 per day
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF DRESSING, NEBULIZATION, ECG, CATHETERIZATION & GENERAL PROCEDURE

OPD/ SEMI. EXECUTIV SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE E DELUXE
DRESSING CHARGES
1 MINOR DRESSING 40.00 55.00 65.00 80.00 80.00 80.00
2 MAJOR DRESSING 80.00 90.00 105.00 130.00 130.00 130.00
3 SUPER MAJOR DRESSING 210.00 235.00 265.00 315.00 315.00 315.00
4 SUPRA MAJOR DRESSING 550.00 580.00 630.00 735.00 735.00 735.00
NEBULIZATION CHARGES
1 NEBULIZATION CHARGE(EACH) 30.00 35.00 40.00 55.00 55.00 55.00
2 NEBULIZATION MAXIMUM CHRG PER DAY 265.00 275.00 290.00 315.00 315.00 315.00
E. C. G. CHARGES
1 E.C.G. CHARGES 85.00 105.00 130.00 160.00 185.00 210.00
2 E C G LONG LED TWO 125.00 145.00 170.00 190.00 210.00 235.00
CATHETERIZATION
1 CATHETERIZATION 55.00 80.00 105.00 105.00 105.00 105.00
2 RYLES TUBE 55.00 80.00 105.00 105.00 105.00 105.00
GENERAL PROCEDURES
1 CUT OPEN 265.00 265.00 265.00 265.00 265.00 265.00
2 COORDINATOR CHARGES 130.00 130.00 130.00 130.00 130.00 130.00
3 INTUBATION 630.00 630.00 630.00 630.00 630.00 630.00
4 CPR CHARGES BY TEAM 630.00 630.00 630.00 630.00 630.00 630.00
5 SUNGSTAKEN TUBE PROCEDURE 3150.00 3150.00 3150.00 3150.00 3150.00 3150.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF DRESSING, NEBULIZATION, ECG, CATHETERIZATION & GENERAL PROCEDURE

OPD/ SEMI. EXECUTIVE SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE
ICU/NICU/PICU & OTHER CRITICAL CARE PROCEDURES
1 ALL VASCULAR LINES PER PROCEDURE 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00
2 ARTERIAL LINE 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00
3 ARTRIAL BLOOD GAS ANALYSIS (ABG) 700.00 700.00 700.00 700.00 700.00 700.00
4 BLOOD GAS PER SAMPLE 600.00 600.00 600.00 600.00 600.00 600.00
5 BI PAP VENTILATOR (12 H) 600.00 600.00 600.00 600.00 600.00 600.00
6 BI PAP VENTILATOR (24 H) 1100.00 1100.00 1100.00 1100.00 1100.00 1100.00
7 C.P.R. RESUSTICATION CHARGES 1050.00 1050.00 1050.00 1050.00 1050.00 1050.00
8 CHEST TUBE INSERTION 2000.00 2000.00 2000.00 2000.00 2000.00 2000.00
9 CVP LINE 1100.00 1100.00 1100.00 1100.00 1100.00 1100.00
10 DVT PUMP (VENA FLOW ELITE) 500.00 500.00 500.00 500.00 500.00 500.00
11 ELECTOLYTE ( 24 H) 190.00 190.00 190.00 190.00 190.00 190.00
12 ENTY BAD SORE FOR 12 HRS 105.00 105.00 105.00 105.00 105.00 105.00
13 DOUBLE VOLUME EXCHANGE TRANSFUSION 6000.00 6000.00 6000.00 6000.00 6000.00 6000.00
14 GLUCORERANDOM PER STRIP 65.00 65.00 65.00 65.00 65.00 65.00
15 INFUSION PER PUMP (12 H) 160.00 160.00 160.00 160.00 160.00 160.00
16 INFUSION PER PUMP (24 H) 250.00 250.00 250.00 250.00 250.00 250.00
17 INTENSIVIST/CRADLE 315.00 315.00 315.00 315.00 315.00 315.00
18 INTUBATION 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00
19 LUMBUR PUNCTURE 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00
20 PCT (PERCUTANEOUS TRACHEOSTOMY) 5500.00 5500.00 5500.00 5500.00 5500.00 5500.00
21 PLEURAL/ ASITIC TAP ( 24 H) 1500.00 1500.00 1500.00 1500.00 1500.00 1500.00
22 TROP TEE 735.00 735.00 735.00 735.00 735.00 735.00
23 WARMER CHARGES 210.00 210.00 210.00 210.00 210.00 210.00
24 TRACHO STOMY 5500.00 5500.00 5500.00 5500.00 5500.00 5500.00
25 CVP MONITORING PER DAY 500.00 500.00 500.00 500.00 500.00 500.00
26 UNBILICAL VENOUS CATHETERIZATION 2000.00 2000.00 2000.00 2000.00 2000.00 2000.00
27 BONE MARROW ASPIRATION 1500.00 1500.00 1500.00 1500.00 1500.00 1500.00
28 CENTRAL LINE INSERTION (NEONATE) 2500.00 2500.00 2500.00 2500.00 2500.00 2500.00
29 CENTRAL LINE INSERTION (PEDIATRICS) 2500.00 2500.00 2500.00 2500.00 2500.00 2500.00
30 ICD 5000.00 5000.00 5000.00 5000.00 5000.00 5000.00
31 ASCITIC TAP 1500.00 1500.00 1500.00 1500.00 1500.00 1500.00
32 PD CATHETER 3000.00 3000.00 3000.00 3000.00 3000.00 3000.00
33 PD CHARGES PER DAY 2000.00 2000.00 2000.00 2000.00 2000.00 2000.00
34 PARTIAL EXCHANGE 3000.00 3000.00 3000.00 3000.00 3000.00 3000.00
35 PIG TAIL INSERTION 5000.00 5000.00 5000.00 5000.00 5000.00 5000.00
OTHER MISCELLANEOUS CHARGES
30 BIRTH CERTIFICATE 55.00 55.00 55.00 55.00 55.00 55.00
31 BLOOD TRANSFER CHARGES 65.00 65.00 65.00 65.00 65.00 65.00
32 GASTRIC LAVAGE CHARGE 525.00 525.00 525.00 525.00 525.00 525.00
33 HIB 420.00 420.00 420.00 420.00 420.00 420.00
34 MEDICAL CERTIFICATE SERVICE CHARGES 65.00 65.00 65.00 65.00 65.00 65.00
35 MEDICAL HEALTH CHECKUP 105.00 105.00 105.00 105.00 105.00 105.00
36 MLC (INFOR TO PLOICE) 265.00 265.00 265.00 265.00 265.00 265.00
37 MLC (W/O INFORM TO POLICE) 210.00 210.00 210.00 210.00 210.00 210.00
38 MORTUARY BED SHEET 105.00 105.00 105.00 105.00 105.00 105.00
39 MORTURY (FIRST 12 HRS) 420.00 420.00 420.00 420.00 420.00 420.00
40 MORTURY (FOR 24 HRS) 630.00 630.00 630.00 630.00 630.00 630.00
41 DVT PUMP WITHOUT CUFF (VENA FLOW ELITE-IMS) 500.00 500.00 500.00 500.00 500.00 500.00
42 DVT PUMP WITHOUT CUFF (FLOWTRON) 500.00 500.00 500.00 500.00 500.00 500.00
43 DVT PUMP WITH CUFF (FLOWTRON) 800.00 800.00 800.00 800.00 800.00 800.00
44 PHOTOTHERAPY DOUBLE SURFACE 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF PSYCHIATRY

S.N. PARTICULARS CHARGES

1 KETAMINE THERAPY 500.00

 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF PHYSIOTHERAPY

OPD/ SEMI. PRIVATE/

S.N. PARTICULARS
GEN. WARD PRIVATE DELUXE/ICU

1 PHYSIOTHERAPY 75.00 125.00 175.00

2 LASER CHARGES PER SITTING 75.00 100.00 100.00

1000.00 1000.00 1000.00

3 SIS (MAGNETIC THERAPY)
(per sitting) (per sitting) (per sitting)

200.00 200.00 200.00

4 SHOCK WAVE THERAPY
(per sitting) (per sitting) (per sitting)

300.00 300.00 300.00

5 TILT TABLE MACHINE
(per sitting) (per sitting) (per sitting)
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF RADIO-DIAGNOSIS AS w.e.f.- 12.04.2023
w.e.f. 12.04.2023
S.NO. PARTICULARS OPD/FREE OTHER
BED PAID BED
X-RAY
1 SINGLE EXPOSURE (VIEW) 185 190
2 SINGLE EXPOSURE (VIEW) BED SIDE 230 240
3 SCANOGRAM FROM HIP TO FOOT 580 700
NOTE:
1. ANY X RAY WITH AP AND LATERAL VIEW WILL BE TWO EXPOUSRE (VIEW) AND HENCE WILL
BE CHARGED ACCORDINGLY (DOUBLE THE SINGLE EXPOSURE CHARGES).

2. ANY X RAY WITH AP OR LATERAL VIEW ONLY WILL BE TAKEN AS SINGLE EXPOSURE.
3. SIMILARLY, IF EIGHT VIEWS/ EXPOSURES OF X-RAYS ARE TAKEN THAN CHARGES WILL BE
190X8.
SRMS IMS SUBSIDY/ DISCOUNT ONLY FOR OPD & FREE BED 25.00 NIL

BARIUM / IVP
4 BARIUM SWALLOW 750.00 1070.00
5 LOOPOGRAM 750.00 1070.00
6 MCU / RGU ETC. 750.00 1070.00
7 RETROGRADE URETHROGRAM RGU FILM 560.00 560.00
8 T TUBE CHOLANGIOGRAM 750.00 1070.00
9 SINOGRAPHY / FISTULOGRAPHY (MAXIMAM TWO FILMS) 750.00 1070.00
10 SIALOGRAPHY (MAXIMAM TWO FILMS) 750.00 1070.00
11 BARIUM MEAL UGIT 1070.00 1610.00
12 INVERTOGRAM 210.00 320.00
13 HSG - THREE FILMS 1070.00 1280.00
14 IVU ROUTINE (COMPLETE)/ IVP 1070.00 1280.00
15 BARIUM MEAL UGIT FOLLOW THROUGH FILMS 1250.00 1900.00
16 BARIUM ENEMA FILMS 1600.00 2100.00
17 BARIUM ENEMA DOUBLE CONTRAST 1800.00 2300.00
18 ENTEROCLYS (SMALL BOWEL ENEMA) 1820.00 2350.00
19 MYELOGRAM FOUR FILMS 2100.00 2400.00

DUAL SOURCE CT SCAN

20 Dual Source CT NCCT BRAIN 1690 1690
21 Dual Source CT PNS (CORONAL) 1690 1690
22 Dual Source CT CECT BRAIN 2470 2470
23 Dual Source CT ORBITS + BRAIN 3930 3930
24 Dual Source CT CECT PITUITARY 2570 2780
25 Dual Source CT ORBITS 2470 2470
26 Dual Source CT PNS (AXIAL &CORONAL) 2470 2470
27 Dual Source CT SPINE (ONE PART) 3370 3370
28 Dual Sourse dental CT Scan 3370 3370
29 Dual Source CT ADULT LOWER ABDOMEN 4490 4490
30 Dual Source CT ADULT UPPER ABDOMEN 4490 4490
31 Dual Source CT ADULT WHOLE ABDOMEN 6960 6960
32 Dual Source CT SHOULDER BOTH JOINTS 5620 5620
33 Dual Source CT HIP BOTH JOINTS 4490 4490
34 Dual Source CT KNEE BOTH JOINTS 4490 4490
35 Dual Source CT ELBOW SINGLE JOINT 3370 3370
36 Dual Source CT WRIST/ FOOT TENDONS IN TRAUMA (ONE 5620 5620
37 SIDE)Source CT ANY OTHER JOINT
Dual 4490 4490
38 Dual Source CT NECK 4490 4490
39 Dual Source CT PAEDIA ABDOMEN FLASH SCAN -1 SEC 4490 4490
40 Dual Source CT PAEDIA THORAX.FLX VIRTUAL BRONCHO 4490 4490
41 Dual Source CT TEMPORAL BONE 4490 4490
42 Dual Source CT CISTERNOGRAPHY 5620 5620
43 Dual Source CT FACE 3D/ Pelvis/Hip Joint/ Elbow/ Wrist joint 5620 5620
44 Dual Source CT KUB FOR URIC ACID STONE 5620 5620
45 Dual Source CT LIVER TRIPHASIC STUDIES 5620 5620
46 DualSource ADULT CHEST VIRTUAL BRONCHO 5620 5620
47 1SEC/THORAX/
Dual Source CTHRCT
BRAIN PERFUSION 6740 6740
48 Dual Source CT COLONOSCOPY 7860 7860
49 Dual Source CT ENTEROCLYSIS 7860 7860
50 Dual Source CT ANGIOGRAPHY BOTH LOWER LIMB 8990 8990
51 Dual Source CT ANGIOGRAPHY UPPER LIMB (SINGLE) 5620 5620
52 Dual Source CT ANGIOGRAPHY LOWER LIMB (SINGLE) 7860 7860
53 Dual Source CT BRAIN + CAROTID ANGIOGRAPHY 8990 8990
54 Dual Source CT ANGIOGRAPHY ABDOMINAL AORTA 5620 5620
55 Dual Source CT ANGIOGRAPHY RENAL ARTERIES 5620 5620
56 Dual Source CT BRAIN ANGIOGRAPHY 5620 5620
57 Dual Source CT CAROTID ANGIOGRAPHY 5620 5620
58 Dual Source CT PULMONARY ANGIOGRAPHY 6740 6740
59 Dual Source CT ANGIOGRAPHY THORACIC + ABD. AORTA 6740 6740
60 Dual Source CT CHEST PAIN (TRIPLE RULE OUT) 14610 14610
61 Dual Source CT CARDIAC ANGIOGRAPHY 12500 12500
CT SCAN (32 SLICE)
62 ANGIO SINGLE PART 4490 4490
63 CT SCAN ABDOMEN UPPER/LOWER/KUB/PELVIS 2500 2500
64 CT SCAN ABDOMEN WHOLE 3370 3370
65 CT SCAN BMD 560 560
66 CT SCAN EXTREMITIES SINGLE LIMB (REGION OF INTEREST) 2250 2250
67 CT SCAN FACE/NECK ?( 3 DIMENSIONAL IMAGE) 3370 3370
68 CT SCAN HEAD CONTRAST 1120 1120
69 CT SCAN HEAD PLAIN + CONTRAST 1570 1570
70 CT SCAN HEAD PLAIN ROUTINE / NCCT HEAD 1120 1120
71 CT SCAN HIP JOINT 1570 1570
72 CT SCAN HRCT THORAX 2250 2250
73 CT SCAN THORAX (PLAIN AND CONTRAST) 3370 3370
74 CT SCAN NECK 2470 2470
75 CT SCAN OPG 3370 3370
76 CT SCAN ORBITS ( AXIAL & CORONAL) 1570 1570
77 CT SCAN PITUITARY ( AXIAL & CORONAL) 1570 1570
78 CT SCAN PNS ( AXIAL & CORONAL) 1570 1570
79 CT SCAN SACROLIAC JOINT 1570 1570
80 CT SCAN SIMULATION 6850 6850
81 CT SCAN SPINE ANY SINGLE PART 2470 2470
82 CT SCAN SPINE SINGLE PART WITH RE-CONSTRUTION 3370 3370
83 CT SCAN DENTAL 2250 2250
84 CT SCAN TOPOGRAM 670 670
85 CT SCAN TM JOINT WITH 3D 2250 2250

MAMMOGRAPHY
86 MAMMOGRAPHY SINGLE VIEW 670 670
87 MAMMOGRAPHY DOUBLE VIEW 1010 1010
88 MAMMOGRAPHY CAMP CHARGES 560 560

3T MRI
89 3T M.R.I. SCREENING FOR POST OPERATIVE SPINE 1180 1180
90 HOSPITAL PATIENT
3T M.R.I.SCREENING 2950 2950
91 3T M.R.I.ANGIO OF BRAIN CHARGES WHEN COMBINED 4130 4130
92 WITH MRIVENOUS
3T M.R.I. BRAIN STUDY OF BRAIN WHEN COMBINED 4130 4130
93 WITH MRI BRAIN
3T MRI BRAIN 6480 6480
94 3T MRI SPINE 6480 6480
95 3RD MRI CHARGES 7080 7080
96 3T ANGIOGRAPHY OR VENOGRAPHY ( ANY SINGLE PART) 7080 7080
97 3T MRI (SINGLE PART) 7080 7080
98 3T WHOLE BODY SCREENING FOR METASTASIS(LIMITED ST) 7080 7080
99 3T MRCP 7080 7080
100 3T MRI BRAIN with DTI 7670 7670
101 3T MRI BRAIN with PERFUSION 7670 7670
102 3T MRI BRAIN WITH SPECTROSCOPY 7670 7670
103 3T MRI BRAIN WITH SPECTROSCOPY AND PERFUSION 8800 8800
104 3T MRI PITUITARY 7080 7080
105 3T ANY SINGLE POST CONTRAST DYNAMIC STUDY WITH 1120 1120
106 ANY EXAMINATION FEES
3T ANAESTHETIST 850 850
107 M.R.I-- R.T.P 0 0
108 SCREENING - M.R.I. 0 0

1.5 T MRI
107 1.5T M.R.I. SCREENING FOR POST OPERATIVE SPINE 1070 1070
108 HOSPITAL PATIENT
1.5T M.R.I.SCREENING 1970 1970
109 1.5T M.R.I.ANGIO OF BRAIN CHARGES WHEN COMBINED 2750 2750
110 WITH MRI BRAIN
1.5T M.R.I. VENOUS STUDY OF BRAIN WHEN COMBINED 2750 2750
111 WITH MRIBRAIN
1.5T MRI BRAIN 4320 4320
112 1.5T MRI SPINE 4320 4320
113 1.5T 3RD MRI CHARGES 4720 4720
114 1.5T ANGIOGRAPHY OR VENOGRAPHY ( ANY SINGLE PART) 4720 4720
115 1.5T MRI (SINGLE PART) 4720 4720
116 1.5T WHOLE BODY SCREENING FOR METASTASIS(LIMITED 4720 4720
117 ST)
1.5T MRCP 4720 4720
118 1.5T MRI BRAIN with DTI 5110 5110
119 1.5T MRI BRAIN with PERFUSION 5110 5110
120 1.5T MRI BRAIN WITH SPECTROSCOPY 5110 5110
121 1.5T MRI BRAIN WITH SPECTROSCOPY AND PERFUSION 5860 5860
122 1.5T MRI PITUITARY 4720 4720
123 1.5T ANY SINGLE POST CONTRAST DYNAMIC STUDY WITH 750 750
124 ANY
1.5T EXAMINATION
ANAESTHETIST FEES 850 850
DEXA SCAN
125 BMD SINGLE SITE 1690 1690
126 BMD WHOLE BODY 4490 4490
127 BMD EVERY EXTRA SITE 560 560
EMERGENCY CHARGES
128 ULTRA SOUND EMERGENCY CHARGES 170 170
129 MRI EMERGENCY CHARGES 450 450
130 CT SCAN EMERGENCY CHARGES 250 250

OTHER RADIO-DIAGNOSIS CHARGES

131 MRI CD CHARGES 175 175
132 CTSCAN CD CHARGES 175 175
133 PRESSURE INJECTOR (3T MRI) 560 560
134 PRESSURE INJECTOR (CT SCAN) 560 560

DOPPLER
135 ABDOMEN WITH DOPPLER-PORTAL 700 700
136 ABDOMEN WITH DOPPLER-RENAL 800 800
137 PERIPHERAL ARTERIAL (SINGLE LIMB) 800 800
138 PERIPHERAL VENOUS (SINGLE LIMB) 800 800
139 PERIPHERAL ARTERIAL ( BOTH LIMB ) 1280 1280
140 PERIPHERAL VENOUS ( BOTH LIMB ) 1280 1280
141 PERIP. ARTERIAL +VENOUS ( SINGLE LIMB ) 1610 1610
142 PERIP. ARTERIAL +VENOUS ( BOTH LIMB ) 1930 1930
143 CAROTID 860 860
144 DOPPLER STUDY TESTIS 540 540
145 DOPPLER STUDY OF UMBILICAL ARTERY 500 500
146 COLOUR DOPPLER ABDOMEN (PORTAL/RENAL) (BED SIDE) 2350 2350
147 PERIPHERAL ARTERIAL (SINGLE LIMB)(BED SIDE) 3210 3210
148 PERIPHERAL VENOUS (SINGLE LIMB)(BED SIDE) 3210 3210
149 PERIPHERAL ARTERIAL (BOTH LIMB)(BED SIDE) 4280 4280
 150 PERIPHERAL VENOUS (BOTH LIMB)(BED SIDE) 4280 4280
151 CAROTID (BED SIDE) 2140 2140
152 DOPPLER STUDY TESTIS (BED SIDE) 1610 1610
153 DOPPLER STUDY OF UMBLICAL ARTERY (BED SIDE) 1610 1610
154 PERIP. ARTERIAL + VENOUS (SINGLE LIMB) ( BED SIDE) 4280 4280
155 PERIP. ARTERIAL + VENOUS (BOTH LIMB) ( BED SIDE) 5890 5890

ULTRASOUND
156 USG UPPER ABDOMEN 300.00 350.00
157 USG UPPER ABDOMEN BED SIDE 430.00 630.00
158 USG LOWER ABDOMEN (KUB/ PELVIS) 300.00 350.00
159 USG LOWER ABDOMEN (KUB/ PELVIS) BED SIDE 430.00 630.00
160 USG WHOLE ABDOMEN 400.00 450.00
161 USG WHOLE ABDOMEN BED SIDE 530.00 700.00
162 USG PREGNANCY 300.00 350.00
163 USG PREGNANCY BED SIDE 430.00 630.00
164 USG PREGNANCY (LEVEL II) 1150.00 1250.00
165 BIOPHYSICAL PROFILE USG 630.00 680.00
166 BIOPHYSICAL PROFILE USG BED SIDE 730.00 830.00
167 TVS (FOR EARLY PREGNANCY) 430.00 480.00
168 TVS (FOR EARLY PREGNANCY) BED SIDE 530.00 630.00
169 NT SCAN 1130.00 1230.00
170 USG - TVS (TRANS VAGINAL) GYNAE 530.00 630.00
171 FOLLICULAR MONITORING USG 630.00 680.00
172 USG FOR O.T. PURPOSE (1/2 HOURS) 930.00 1030.00
USG SMALL PARTS (EYE, SCROTUM/ TESTIS, INFANT
173 CRANIAL, HIP,BREAST, THYROID, SUBMANDIBULAR/ 480.00 530.00
PAROTID GLAND ETC.)

USG SMALL PARTS (EYE, SCROTUM/ TESTIS, INFANT

174 CRANIAL, HIP,BREAST, THYROID, SUBMANDIBULAR/ 830.00 830.00
PAROTID GLAND ETC.) BED SIDE
175 USG - TRUS ( TRANS RECTAL ) 480.00 530.00
176 USG - TRUS ( TRANS RECTAL ) BED SIDE 630.00 830.00
177 USG CHEST 480.00 530.00
178 USG CHEST BED SIDE 630.00 830.00
179 USG - NECK 480.00 530.00
180 USG - NECK BED SIDE 630.00 830.00
*SRMS IMS SUBSIDY / DISCOUNT ONLY FOR OPD / FREE BED PATIENTS ONLY
USG KUB / PELVIS / LOWER / UPPER / WHOLE ABDOMEN 50.00 NA
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF PATHOLOGY DEPARTMENT
w.e.f.- 01.03.2023
S.NO. PARTICULARS OPD/ OTHER
FREE BED PAID BED
HAEMATOLOGY
1 ABSOLUTE EOSINOPHIL COUNT 60.00 100.00
2 ABSOLUTE NEUTROPHIL COUNT 60.00 100.00
3 ABSOULTE INDICES (MCH,MCV & MCHC & RDW-SV,RDW-SD) 350.00 370.00
4 APTT ACTIVE PAR THR TIME 410.00 410.00
5 BLEEDING TIME 50.00 60.00
6 BT & CT 80.00 100.00
7 CLOTTING TIME 50.00 60.00
8 D-DIMER 1500.00 1500.00
9 DLC DIFF. LEUCOCYTE COUNT 75.00 90.00
10 ESR TEST 75.00 90.00
11 GBP GENERAL BLOOD PICTURE 200.00 260.00
12 HAEMOGLOBIN ELECTROPHORESIS BY HPLC 790.00 790.00
13 HAEMOGLOBIN HB 60.00 85.00
14 PCT (PROCALCITONIN ) 2000.00 2000.00
15 PCV 80.00 90.00
16 PLATELET COUNT 160.00 180.00
17 PTINR PROTHROMBINE TIME 200.00 240.00
18 RBC COUNT 80.00 90.00
19 RETIC COUNT 120.00 150.00
20 SICKLING TEST 120.00 135.00
21 TLC TOTAL LEUKOCYTE COUNT 75.00 90.00
22 IMMATURE PLATELET FRACTION 350.00 350.00
CLINICAL PATHOLOGY
22 ASCITIC FLUED ROUTINE & MICROSCOPIC TLC, DLC 300.00 330.00
23 BENE JONES PROTINE 120.00 150.00
24 BILE PIGMENT 60.00 90.00
25 BILE SALT 60.00 90.00
26 CSF ROUTINE IN 300.00 330.00
27 E T ASPIRATE ROUTINE (TLC, DLC) 300.00 330.00
28 FLUID FOR ROUTINE TLC, DLC 300.00 330.00
29 PLUIRAL FLUID FOR ROUTINE TLC, DLC 300.00 330.00
30 REDUCING SUBSTANCE (BENEDICT) 60.00 90.00
31 SEMEN ANALYSIS 230.00 250.00
32 SYNIVIAL FLUID TLC, DLC 300.00 330.00
33 UPT PREGNANCY TEST ( ELISA ) 130.00 160.00
34 URINARY KETONES 70.00 90.00
35 URINE- ALB / PRO (QUALI.) 70.00 90.00
36 URINE FOR PH & SPECIFIC GRAVITY 70.00 90.00
37 URINE FOR NITRITE 80.00 90.00
38 URINE R + M 80.00 100.00
39 URINE (SUGAR) 60.00 90.00
40 UROBILINOGEN 70.00 0.00
NEW URINE FOR MICROALBUMIN 100.00 100.00
NEW URINE FOR CREATININE 100.00 100.00
HISTOPATHOLOGY
41 SECURITY HISTO BIOPSY (SLIDE) 250.00 250.00
42 BIOPSY APPENDIX 750.00 900.00
43 BIOPSY GALL BLADDER 750.00 900.00
44 SECURITY BIOPSY ( BLOCK ) 505.00 505.00
 45 ENDOMETRIAL BIOPSY 700.00 700.00
46 SMALL SURGICAL BIOPSY (<1 cm) 700.00 700.00
47 BONE BIOPSY 750.00 750.00
48 BIOPSY UTERUS WITH CERVIX 1300.00 1300.00
49 BIOPSY MEDIUM (1-3 cm) 1000.00 1000.00
50 BIOPSY BREAST 1300.00 1300.00
51 BIOPSY LARGE (>3 cm) 1500.00 1500.00
52 FROZENSECTION UPTO 6 2000.00 2000.00
53 LUNG BIOPSY WITH IHC 2000.00 2000.00
54 FROZENSECTION MORE THAN 6 2550.00 2550.00
55 BREAST BIOPSY WITH IHC (MASTECTOMY) 3000.00 3000.00
NEW IMMUNOHISTOCHEMISTRY PER MARKER (OUTSIDE CASES) 1500.00 1500.00
SLIDE/BLOCK FOR REVIEW
NEW 500.00 500.00
(PER BLOCK/SLIDE)
NEW USG/CT GUIDED BIOPSY WITH IMMUNOHISTOCHEMISTRY 3000.00 3000.00
NEW BRAIN TUMOR WITH IMMUNOHISTOCHEMISTRY 3000.00 3000.00
NEW LYMPH NODE BIOPSY 3000.00 3000.00
56 KIDNEY BIOPSY HPE WITH IMMUNOFLUORESCENCE ASSAY 4000.00 4000.00
CYTOLOGY
57 ASCITIC FLUID MALIGANT CELLS 400.00 500.00
58 BRONCHIAL BRUSH FOR MALINGMENT CELL 400.00 500.00
59 BRONCHIAL WASH ETC (CYTOLOGY) 400.00 500.00
60 CSF FOR MALIGNANT CELL 400.00 500.00
61 FLUID FOR MALIGANTS CELLS 400.00 500.00
62 FNAC FINE NIDDLE ASPIRATION CYTOLOGY 650.00 750.00
63 PAP SMEAR 400.00 500.00
64 PERI CARDVIAL FLUID CYTOLOGICAL 400.00 500.00
65 PLUERAL FLUID MALIGNANT CELL 400.00 500.00
66 SECURITY FNAC SLIDE 200.00 200.00
67 SPUTUM EXAMINATION FOR MALIGNANT CELLS 400.00 500.00
68 SYNOVIAL FLUID CYTOLOGICAL 450.00 500.00
69 URINE CYTOLOGY FOR MALIGENTS CELL 450.00 500.00
70 LIQUID BASE CYTOLOGY (LBC) 550.00 550.00
71 BONE MARROW EXAMINATION 1000.00 1200.00
72 EBUS-TBNA CYTOLOGY 2800.00 2800.00
IMMUNOHISTOCHEMISTRY
73 ANTIMELAN - A 1500.00 1500.00
74 CALRETRININ 1500.00 1500.00
75 CD - 10 1500.00 1500.00
76 CD - 15 1500.00 1500.00
77 CD - 30 1500.00 1500.00
78 CD - 99 1500.00 1500.00
79 CD20 1500.00 1500.00
80 CD3 1500.00 1500.00
81 CHROMOGRANIN A 1500.00 1500.00
82 CK 1500.00 1500.00
83 CK - 5 1500.00 1500.00
84 CK - 6 1500.00 1500.00
85 DESMIN 1500.00 1500.00
 86 EMA 1500.00 1500.00
87 ER 1500.00 1500.00
88 GFAP 1500.00 1500.00
89 HER 2 NEU 1500.00 1500.00
90 Ki67 1500.00 1500.00
91 LCA (CD-45) 1500.00 1500.00
92 PANCYTOKERATIN 1500.00 1500.00
93 PAS STAIN 1500.00 1500.00
94 PR 1500.00 1500.00
95 S-100 1500.00 1500.00
96 THC STAINED SLIDE WITH REPORT 1500.00 1500.00
97 VIMENTIN 1500.00 1500.00
98 SKIN BIOPSY HPE WITH IMMUNOFLUORESCENCE ASSAY 2000.00 2000.00
IMMUNOFLUORESCENCE ASSAY ON TISSUE (UP TO 3
99 1000.00 1000.00
ANTIBODIES)
100 IMMUNOFLUORESCENCE ASSAY ON TISSUE (MORE THAN 3 2000.00 2000.00

INACTIVE SERVICES
1 BLOOD GROUP ABO RH INACTIVE
2 LE CELL INACTIVE
3 CROSS MATCH INACTIVE
4 COOMBS TEST DIRECT INACTIVE
5 FOETAL HAEMOGLOBIN INACTIVE
6 COOMBS TEST INDIRECT INACTIVE
7 BONE MARROW EXAMINATION INACTIVE
8 REDUCING SUGAR INACTIVE
9 SEMINAL FRACTOSE INACTIVE
10 SERUM CORTISOL INACTIVE
11 SPERM WASH INACTIVE
12 URINARY VOLUME & PH INACTIVE
13 URINE FOR CHYLE INACTIVE
14 URINE OSMOLALITY INACTIVE
15 URINE PORPHRINS INACTIVE
16 URINE PROTINE(QUANT.) INACTIVE
17 CERVICAL / VAGINAL BIOPSY INACTIVE
18 SOFT TISUUE BIOPSY INACTIVE
19 ORGAN BIOPSY (GB, BREAST, UTERUS,SOFT TUMOUR, ETC) INACTIVE
20 FROZENSECTION UPTO 3 INACTIVE
21 CERVICAL SMEAR INACTIVE
22 CYTOLOGICAL EXAMINATION INACTIVE
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF BIOCHEMISTRY DEPARTMENT
w.e.f.- 01.03.2023
S.NO. PARTICULARS OPD/ OTHER
FREE BED PAID BED
BIOCHEMISTRY
1 024 Hr Urianry Protine 140.00 200.00
2 24 HOURS URINARY CALCIUM 150.00 200.00
3 24 HOURS URINARY POTASSIUM 150.00 200.00
4 24 HOURS URINARY SODIUM 150.00 200.00
5 24 Hr Urinary Urea 150.00 200.00
6 24 Hrs Urinary Creatinne 150.00 200.00
7 25 OH VITAMIN D TOTAL (VITAMIN D3) 1200.00 1200.00
8 ACID PHOSPHATE 215.00 425.00
9 AFP ALFA FETO PROTIEN 990.00 990.00
10 ANTI COVID-19 IgG 1500.00 1500.00
11 ANTI-TPO (THYROPEROXIDASE ) 1210.00 1210.00
12 BABITURATE LAVEL(URINE) 600.00 600.00
13 BETA HCG PREGNANCY 830.00 830.00
14 BETA HCG TUMOR MARKER 830.00 830.00
15 BILIRUBIN 150.00 180.00
16 BODY FLUID (SUGAR + PROTEIN + ALBUMIN) 250.00 300.00
17 BUN BLOOD UREA NITRO/UREA 120.00 160.00
18 CA 19.9 (CANCER ANTIGEN) 1270.00 1270.00
19 CA125 1460.00 1490.00
20 CEA 880.00 880.00
21 CPK 530.00 600.00
22 CPK MB 530.00 600.00
23 CREATININE CLEARANCE 160.00 220.00
24 D-DIMER EXCLUSION 11 1320.00 1320.00
25 DIPSI 55.00 65.00
26 ESTRADIOL 530.00 600.00
27 FERRITIN 880.00 880.00
28 FLUID CRETININE 125.00 190.00
29 FLUID FOR ALBUMIN 170.00 220.00
30 FLUID FOR UREA 125.00 190.00
31 FREE T3, FREE T4 & TSH 1000.00 1000.00
32 FREE THYROXINE / FREE T4 480.00 480.00
33 FREE TRI - IDO THYONINE ( F T3 ) 480.00 480.00
34 FSH FOLLICULAR STIMULATING HORMONE 530.00 600.00
35 GCT GLUCOSE CHALENGE TEST - (1 SAMPLE) 65.00 90.00
36 GTT GLUCOSE TOLERANCE TEST (3 SAMPLE) 270.00 270.00
37 H D L CHOLESTROL 150.00 200.00
38 HbA1C GLYCOSYLATED HAEMOG 500.00 600.00
39 LDH (Lactate dehydrogenase) 400.00 500.00
40 LDH (Lactate dehydrogenase) 400.00 500.00
41 LDL - CHOLESTEROL 175.00 270.00
42 LEUTINIZING HORMONE (LH) 530.00 550.00
43 LFT LIVER PROFILE 440.00 650.00
44 LIPASE 550.00 600.00
45 LIPID PROFILE 450.00 470.00
46 LITHIUM 330.00 390.00
47 URINE FOR MICROALBUMIN SPOT 550.00 550.00
48 NT PRO BNP TEST 3600.00 3600.00
49 PLASMA AMONIA 1090.00 1090.00
 50 PLASMA GLUCOSE FASTING 60.00 90.00
51 PLASMA GLUCOSE PP 60.00 90.00
52 PLASMA GLUCOSE R 60.00 90.00
53 PROLACTIN 550.00 600.00
54 PSA (TOTAL) ** 950.00 950.00
55 SAP SERUM ALKALINE PHOSPHATASE 150.00 180.00
56 SERUM ALBUMIN 105.00 160.00
57 SERUM AMYLASE 200.00 320.00
58 SERUM CALCIUM 140.00 200.00
59 SERUM CHLORIDE 100.00 190.00
60 SERUM CHOLESTROL 150.00 200.00
61 SERUM CREATINE KINASE - MB FRACTION 400.00 550.00
62 SERUM CREATINE KINASE ( CK ) 400.00 550.00
63 SERUM CREATININE 110.00 150.00
64 SERUM GLOBULLIN 175.00 200.00
65 Serum Magnesium (Mg) 150.00 225.00
66 SERUM OSMOLALITY 360.00 550.00
67 SERUM PHOSPHOROUS 130.00 200.00
68 SERUM POTASSIUM K+ 130.00 180.00
69 SERUM SODIUM Na+ 130.00 180.00
70 SERUM TRIGLYCERIDE 150.00 200.00
71 SERUM UREA 110.00 160.00
72 SGOT 110.00 160.00
73 SGPT 110.00 160.00
74 T3 250.00 250.00
75 T3T4TSH 500.00 500.00
76 T4 250.00 250.00
77 TESTOSTERONE (TOTAL) *** 800.00 800.00
78 TOTAL BILE ACIDS 1580.00 1580.00
79 TOTAL CHOLESTROL 150.00 200.00
80 TOTAL PROTEINS ALB/GLOB 250.00 350.00
81 TROP I TEST QUANTITATIVE 1200.00 1200.00
82 TSH 250.00 250.00
83 UNRINARY CLORIDE - SPOT 100.00 150.00
84 URIC ACID 125.00 175.00
85 URINE FOR ALBUMIN -SPOT 90.00 135.00
86 URINARY CALCIUM 150.00 200.00
87 URINARY CREATININE 115.00 160.00
88 URINARY POTASSIUM - SPOT 125.00 200.00
89 URINARY PROTEIN - SPOT 125.00 200.00
90 URINARY SODIUM - SPOT 125.00 200.00
91 URINARY TRIGLYCERIDE 145.00 150.00
92 URINE FOR URIC ACID - SPOT 100.00 150.00
(ENDOCRINOLOGY) BIOCHEMISTRY DEPARTMENT
93 T3 250.00 250.00
94 T4 250.00 250.00
95 TSH 250.00 250.00
96 PROLACTIN 600.00 600.00
97 FSH FOLLICULAR STIMULATING HORMONE 600.00 600.00
98 LEUTINIZING HORMONE (LH) 600.00 600.00
99 T3T4TSH 500.00 500.00
 100 TESTOSTERONE (TOTAL) *** 750.00 750.00
101 FERRITIN 900.00 900.00
102 PSA (TOTAL)** 1000.00 1000.00
103 FREE T3, FREE T4 & TSH 1000.00 1000.00
104 AFP ALFA FETO PROTIEN 1000.00 1000.00
105 ANTI-TPO (THYROPEROXIDASE) 1250.00 1250.00
106 CA 19.9 (CANCER ANTIGEN) 1350.00 1350.00
107 25 OH VITAMIN D TOTAL (VITAMIN D3) 1200.00 1200.00
108 CA125 1450.00 1450.00
109 ANTI MULLERRIAN HORMONE (AMH) 2100.00 2100.00
110 PROGESTERONE 750.00 750.00
111 24 HRS URINE MICROALBUMIN 550.00 550.00
112 24 HRS URINARY ALBUMIN 90.00 135.00
113 24 HRS URINARY URIC ACID 100.00 150.00
114 24 HRS URINARY PROTEIN 140.00 200.00
115 URINE FOR UREA -SPOT 150.00 200.00
116 24 HRS URINARY CREATININE 150.00 200.00

INACTIVE SERVICES
1 SERUM CHOLESTROL Inactive
1 BARBITURATE LAVEL (URINE) Inactive
2 FLUID FOR UREA Inactive
3 FLUID FOR TRIGLYCERIDE Inactive
4 VAGINAL FLUID CREATININE Inactive
5 STOOL FOR REDUCING SUBSTANCE Inactive
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF MICROBIOLOGY DEPARTMENT

w.e.f.- 01.03.2023
S.NO. PARTICULARS OPD/ OTHER
FREE BED PAID BED
MICROBIOLOGY
1 ACCUTE HEPATITIS PANEL 4200.00 4200.00
2 ACE ANGIO. CONVERVING ENZYME 1200.00 1200.00
3 ANTI CCP ANTIBODIES 1800.00 1800.00
4 ANTI MEASLES IGG & IGM ANTI BODIES 3470.00 3470.00
5 ANTI MEASLES IGG ANTI BODIES 1800.00 1800.00
6 ANTI MEASLES IGM ANTI BODIES 1800.00 1800.00
7 CARDILIPIN ANTI (IGG/IGM) 1900.00 1900.00
8 CARDIOLIPIN ANTIBODIES (IgM) 950.00 950.00
NEW CARDIOLIPIN ANTIBODIES (IgG) 950.00 950.00
9 CYSTICERCOSIS FOR IGG ANTI BODIES 2550.00 2550.00
10 DOUBLE MARKER 2800.00 2800.00
11 ECHINOCOCOCCUS ANTIBODIES IGG 2100.00 2100.00
12 H1 N1 6050.00 6050.00
13 HAINS TEST 1600.00 1600.00
14 HAV ( igm ) 1400.00 1400.00
15 HBV DNA QUANTITATIVE (TAQMAN) 9000.00 9000.00
16 HCV - RNA - QUANTITATIVE (8250) 9000.00 9000.00
17 HCV - RNA - QUANTITATIVE BY PCR (9972) 4400.00 4400.00
18 HCV Genotype 8000.00 8000.00
19 HEP B SURFACE ANTIBODIES (DR VIJAY) 1100.00 1100.00
20 HEP BE ANTIBODY * * * 1150.00 1150.00
21 HEPA B CORE TOTAL ANTIBODIES 1250.00 1250.00
22 HEV( igm) 1800.00 1800.00
23 LEPTOSPIRA IGG & IGM ANTIBODIES 3000.00 3000.00
24 LEPTOSPIRA IGG ANTIBODIES 1500.00 1500.00
25 LEPTOSPIRA IGM ANTIBODIES 1500.00 1500.00
26 MUMPS AB IGG 2200.00 2200.00
27 MUMPS IGM ANTI BODIES 2200.00 2200.00
28 QUADRUPLE MARKER 4000.00 4000.00
29 RUBELLA ANTIBODIES ( IGG ) 900.00 900.00
30 RUBELLA ANTIBODIES (IGM) 900.00 900.00
31 RUBELLA ANTIBODIES IGG & IGM 1500.00 1500.00
32 SARS COVID-2 (RT PCR) 700.00 700.00
33 TORCH IGG ANTIBODIES 1700.00 1700.00
34 TORCH IGM ANTIBODIES ( 10 PARA) 3400.00 3400.00
35 TORCH IGM ANTIBODIES ( 4 PARA) 1600.00 1600.00
36 TORCH IGM ANTIBODIES ( 5 PARA) 1800.00 1800.00
37 TOXOPLASMA ANTIBODIES IG G 950.00 950.00
38 TOXOPLASMA ANTIBODIES IG M 920.00 920.00
39 TOXOPLASMA ANTIBODIES IGG & IGM 1550.00 1550.00
40 TRIPLE MARKER TEST 3000.00 3000.00
BACTERIOLOGY
41 AFB STANING FOR LEPROSY (SLIT SMEAR) ONE SIDE 200.00 250.00
42 ALBERT STAIN 200.00 250.00
43 ANAEROBIC BLOOD CULTURE ON (BATTEC) 850.00 1000.00
44 BIOPSY UREASE TEST 150.00 200.00
45 BIOPSY UREASE TEST FOR HELICOBATER PYLORI 150.00 200.00
46 FUNGAL BLOOD CULTURE ON (BATTEC) 850.00 1000.00
47 GRAM STAINING 150.00 180.00
48 HANGING DROP STOOL 100.00 140.00
49 NORMAL BACTERIAL / FUNGAL CULTURE. 300.00 400.00
50 NORMAL BLOOD CULTURE 350.00 500.00
51 RAPID BLOOD CULTURE BACTEC 850.00 1000.00
52 URELTHRAL SWAB GRAM STAINING 150.00 180.00
53 VITEK BACTERIAL CULTURE 1200.00 1200.00
54 VITEK BLOOD CULTURE 2000.00 2000.00
55 WETMOUNT 100.00 120.00
SEROLOGY
ADA ADENOSINE DEAMINASE FOR MYCOBACTERIUM
56 700.00 700.00
TUBER
57 ALDEHYDE TEST 80.00 130.00
58 ASO ANTI STREPTO TITRE 300.00 350.00
59 CRP - UV 300.00 350.00
60 H.PYLORI ANTIGEN 420.00 500.00
61 MALARIA ANTIGEN 250.00 300.00
62 PCT (PROCALCITONIN ) 2000.00 2000.00
63 RAFACTOR 250.00 300.00
64 TOTAL IGE (IMMUNOGLOBULIN -E) 1100.00 1100.00
65 VDRL 150.00 200.00
66 VDRL WITH TITRE 300.00 350.00
67 WIDAL TEST 120.00 150.00
68 TYPHIDOT 400.00 400.00
PARASITOLOGY
69 MALARIA PARASITE 100.00 150.00
70 STOOL OCCULT BLOOD 100.00 120.00
71 STOOL R/M 120.00 150.00
72 TEST FOR MICROFILARIA 100.00 150.00
MYCOLOGY
73 CRYPSTOCOCAL 150.00 200.00
74 INDIAN INK 150.00 200.00
75 KOH STAINING 150.00 200.00
IMMUNOLOGY
76 PPD MANTOUX TEST 70.00 100.00
MYCOBACTERIOLOGY
77 AFB CULTURE 3 SAMPLE (SPUTUM) 1400.00 1400.00
78 AFB STAIN 130.00 160.00
79 AFB URINE 150.00 200.00
80 CONVENTIONAL (SOLID CULTURE) 630.00 630.00
81 FOR 3 MGIT CULTURE 1400.00 1400.00
82 LIQUID CULTURE WITH DST (FOR 5 DRUGS ONLY) 4725.00 4725.00
83 RAPID (MGIT) CULTURE 1200.00 1200.00
IMMUNOLOGY DEPARTMENT
84 ASO ANTI STREPTO TITRE 300.00 400.00
85 CRP 250.00 300.00
86 RA FACTOR 250.00 300.00
VIROLOGY
87 CHIKUNGUNYA Ig M ANTIBODIES 950.00 950.00
88 DENGUE ELISA {IGG & IGM} 900.00 1000.00
89 DENGUE IgG 600.00 600.00
90 DENGUE IgM 600.00 600.00
91 H B V DNA QUANTATIVE 9000.00 9000.00
92 HBS AG ELISA 725.00 825.00
93 HBSAG AUSTRALIA ANTIGEN 190.00 240.00
94 HBSAG(WITHOUT CONFIRMATION) 400.00 425.00
95 HCV ANTI DETECTION (QUALI) 400.00 500.00
96 HCV ELISA 850.00 850.00
97 HEP B CORE IGM 1250.00 1250.00
98 HEP Be Antigen * * * 1150.00 1150.00
99 HIV ANTIBODY TEST 280.00 320.00
100 HIV (WESTREN BLOT) 2200.00 2200.00
101 HIV ANTIBODY TEST ELISA 740.00 840.00
102 PCR FOR HERPES SIMPLEX 3300.00 3300.00
103 HCV RNA QUANTITATIVE PCR 3600.00 3600.00
104 TRUENAT RTPCR FOR COVID-19 1250.00 1250.00
105 HBV DNA Viral Load by True Nat (RTPCR) 3600.00 3600.00
SPECIAL INVESTIGATION (CRL)
104 SEPARATION OF HAEMOGLOBIN ELECTROPHORESIS 425.00 425.00
105 SEPARATION OF SERUM PROTEIN ELECTROPHORESIS 425.00 425.00
106 MTB REAL - TIME PCR 2200.00 2200.00
107 HPV Sup typing first time REAL - TIME PCR 2000.00 2000.00
108 HPV Subsequently REAL - TIME PCR 1425.00 1425.00
109 HLA B27 REAL TIME PCR 3800.00 3800.00
110 HCV QUALITATIVE 3800.00 3800.00
111 HCV QUANTITATIVE 7200.00 7200.00
112 ANTI NUCLEAR AB (ANA) PROFILE 3310.00 3310.00
113 HBV DNA Quantitative By PCR 4630.00 4630.00
114 ANTI CCP ANTIBODIES 2100.00 2100.00
115 FUNGAL PCR FOR OPTHALMOLOGY 840.00 840.00
116 PCR TEST FOR MALARIA 840.00 840.00
117 HIGH RISK HPV DNA 3100.00 3100.00
118 ARGINASE & NOS ACTIVITY 420.00 420.00
119 HERPES SIMPLEX VIRUS PCR (HSV PCR) 840.00 840.00

120 VASCULITIS PROFILE (ANTI PR3 ANTI MPO ANTI GBM) 2310.00 2310.00
MYCOBACTERIOLOGY DEPARTMENT
87 AFB STAIN (FLUORESCENT) 160.00 210.00
88 AFB URINE 160.00 210.00
89 FOR 3 MGIT CULTURE 1580.00 2100.00
90 LIQUID CULTURE WITH DST (FOR 5 DRUGS ONLY) 5510.00 5510.00
91 RAPID (MGIT) CULTURE 1160.00 1260.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF NUCLEAR MEDICINE INVESTIGATION

RATES
S.NO. PARTICULARS
OPD/FREE BED OTHER PAID BED
NUCLEAR MEDICINE
1 BONE SCAN 4725.00 4725.00
2 BRAIN SPECT SCINTIGRAPHY (ECD/HMPAO/GHA) 14175.00 14175.00
3 CARDIAC PET-CT(WITH MYOCARDIAL PERFUSION SCAN) 31500.00 31500.00
4 DMSA RENAL SCAN 4725.00 4725.00
5 DRCG SCAN 5775.00 5775.00
6 DTPA/EC RENAL SCAN 4725.00 4725.00
7 EETRA COLOUR PRINT (PER PAGES) 105.00 105.00
8 EXTRA CD 525.00 525.00
9 EXTRA COLOUR PRINT (PER PAGE) 105.00 105.00
10 EXTRA FILM CHARGES (PER FILM) 160.00 160.00
11 EXTRA FILM CHARGES (PER FILM) 160.00 160.00
12 GASTRIC EMPTYING TIME 8925.00 8925.00
13 GER SCAN/MILK SCAN 5775.00 5775.00
14 GI BLEED SCAN 8400.00 8400.00
15 HIDA SCAN 6825.00 6825.00
16 LIVER/SPLEEN SCAN 5775.00 5775.00
17 LYMPHOSCINTIGRAPHY 8925.00 8925.00
18 MUGA 3675.00 3675.00
19 MYOCARDIAL PERFUSION SCAN 14700.00 14700.00
20 PARATHYROID SCAN 9450.00 9450.00
21 PET-BRAIN 19950.00 19950.00
22 PET-CECT WHOLE BODY 22050.00 22050.00
23 SENTINEL NODE 5775.00 5775.00
24 TESTICULAR SCAN 5775.00 5775.00
25 THREE PHASE BONE SCAN 5775.00 5775.00
26 THYROID TC SCAN 2625.00 2625.00
27 PET-CT-F18 PSMA 41500.00 41500.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF DENTAL PROCEDURES

S.N RATES
PARTICULARS
O. OPD/FREE BED OTHER PAID BED
DENTISTRY
1 ABSCESS INCISION 500.00 500.00
2 ACRYLIC CROWN 800.00 800.00
3 ACRYLIC ANT BRIDGE (PER UNIT) 630.00 630.00
4 ALVEOLECTMY PER SEGMENT 525.00 525.00
5 APICOECTOMY TOOTH 2000.00 2000.00
6 BIOPSY 500.00 500.00
7 BLEACHING ( PER SITTING ) 370.00 370.00
8 BRIDGE PONTIC PER UNIT 630.00 630.00
9 COMPLETE DENTURE 3000.00 3000.00
10 COMPLETE DENTURE (IMPORTED TOOTH) 4000.00 4000.00
11 COMPOUND FRACTURES 5000.00 5000.00
12 DENTO ALVEOLAR FRACTURES PER SEGMENT 2000.00 2000.00
13 DRESSING 55.00 55.00
14 FILLING AMALGAM 500.00 500.00
15 FILLING COMPOSITE 600.00 600.00
16 FLAP-OPERATION 2000.00 2000.00
17 FLUORIDE APPLICATION(PER SITTING) 265.00 265.00
18 GRENDING 150.00 150.00
19 INLAY 315.00 315.00
20 INTRA ORAL 55.00 55.00
21 INTRA ORAL SINUS 525.00 525.00
22 J.GOLD CASTING /UNIT 525.00 525.00
23 JACKET CROWN (CERAMIC) 1500.00 1500.00
24 LOWER DENTURES 2000.00 2000.00
25 METAL CROWN 1200.00 1200.00
26 MOTORIZED RCT 1470.00 1470.00
27 MULTIPLE ROOTED 790.00 790.00
28 OBTURATORS 1575.00 1575.00
29 OCCLUSAL SPLINTS 1575.00 1575.00
30 ORO-ANTRAL FISTULA 2500.00 2500.00
31 PERICORONITIS 105.00 105.00
32 PIT $ FISSURE SEALENT 525.00 525.00
33 POST CROWN WITH FACING 945.00 945.00
34 PULPECTOMY 500.00 500.00
35 PULPOTOMY 500.00 500.00
36 R.V.G. X-RAY 100.00 100.00
37 R.V.G.(WITH PRINT) 125.00 125.00
38 REPLANTATION PER TOOTH 1050.00 1050.00
39 SCALING (MAJOR DEPOSITE) 500.00 500.00
40 SINGLE ROOTED 630.00 630.00
41 SMALL GROWTH EG.EPULIS 525.00 525.00
42 STAIN REMOVER(AFTER SCALING) 100.00 100.00
43 STAINLESS STEEL CROWN 1200.00 1200.00
44 SUBSEQUENT TOOTH 105.00 105.00
45 T.M. JOINT(LATERAL VIEW) 75.00 75.00
46 UPPER DENTURES 2000.00 2000.00
47 ZINC OXIDE(TEMPORARY) 100.00 100.00
48 HIGH IMPACT COMPLETE DENTURE 5000.00 5000.00
49 GINGIVECTOMY 2500.00 2500.00
50 SUB GINGIVAL CURETTAGE 550.00 550.00
51 ILS (PER SIDE) 350.00 350.00
52 IMPACTED THIRD MOLAR 1000.00 1000.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF DENTAL PROCEDURES

S.N RATES
PARTICULARS
O. OPD/FREE BED OTHER PAID BED
53 FIXED ORTHODONTIC BRACKET BONDING 8000.00 8000.00
54 FIXED ORTHODONTIC FOLLOW UP VISIT 1000.00 1000.00
55 FIXED RETAINER (PER ARCH) 1000.00 1000.00
56 BRACKET DISLODGED (PER BRACKET) 400.00 400.00
57 MYO FUNCTIONAL APPLIANCE 5000.00 5000.00
58 DENTURE REPAIR 500.00 500.00
59 GIC FILLING 500.00 500.00
60 EXTRACTION OF TOOTH 500.00 500.00
61 ROOT CANAL TREATMENT 1500.00 1500.00
62 IOPAR X-RAY 80.00 80.00
63 TEMPORARY FILLING 100.00 100.00
64 ACRYLIC CROWN 800.00 800.00
65 DENTAL PROTECTIVE EQUIPMENT 200.00 200.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF GASTROENTROLOGY

OPD/ SEMI. EXECUTIVE SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE
DIAGNOSTIC ENDOSCOPIC PROCEDURE
1 COLONOSCOPY 2500.00 2750.00 3000.00 3500.00 3500.00 3500.00
2 SCELERO THERAPY 2100.00 2200.00 2300.00 2500.00 2500.00 2500.00
3 SIGMOIDOSCOPY 1500.00 1750.00 2000.00 2500.00 2500.00 2500.00
4 UPPER G ENDOSCOPY 1500.00 1750.00 2000.00 2500.00 2500.00 2500.00
5 SIDE VIEW ENDOSCOPY 3000.00 3500.00 4000.00 5000.00 5500.00 6000.00
6 FIBROSCAN 2700.00 2700.00 2700.00 2700.00 2700.00 2700.00
ENDOSCOPIC PROCEDURES
7 BANDING 3200.00 3300.00 3400.00 3500.00 3600.00 3700.00
8 DILATATION PER SITTING 3200.00 3300.00 3400.00 3500.00 3600.00 3700.00
9 EMERGENCY / ICU PROCEDURE CHARGES 1050.00 1100.00 1200.00 1400.00 1500.00 1800.00
10 ENDOSCOPIC BIOPSY PROCEDURE 500.00 600.00 700.00 800.00 900.00 1000.00
11 ERCP 10000.00 10500.00 11000.00 12000.00 13000.00 14000.00
12 EST 2650.00 2700.00 2800.00 3000.00 3250.00 3500.00
13 FB Removal 3675.00 3675.00 3675.00 3675.00 3675.00 3675.00
14 GLUE INJECTION 7000.00 7500.00 8000.00 9000.00 9500.00 10000.00
15 GLUE INJECTION (MULTIPLE SITE) 10000.00 10000.00 10000.00 10000.00 12000.00 12000.00

16 RYLESTUBE INSTERTION (ENDOSCOPY) 1000.00 1100.00 1250.00 1500.00 1800.00 2000.00

17 CLIP APPLICATION (ENDOSCOPY) 2000.00 2250.00 2500.00 2600.00 2750.00 3000.00

18 APC (ONE SITE) (ENDOSCOPY) 2000.00 2250.00 2500.00 3000.00 3000.00 3000.00

19 APC (MULTIPLE SITE) (ENDOSCOPY) 7000.00 7500.00 8000.00 8500.00 9000.00 9500.00

20 POLY PECTOMY (ENDOSCOPY) 5000.00 5500.00 6000.00 6500.00 7000.00 7500.00

COLONOSCOPIC DECOMPRESSION WITH
21 2000.00 2000.00 4000.00 4000.00 4000.00 4000.00
FLATUS TUBE PLACEMENT
22 PUSH ENTEROSCOPY 3000.00 3000.00 4000.00 4000.00 4000.00 4000.00

GASTROENTROLOGY PROCEDURES PACKAGES

23 ERCP & STENTING WITH ANESTHESIA 20000.00 22000.00 25000.00 28000.00 28000.00 28000.00

24 ERCP & STENTING WITHOUT ANESTHESIA 16000.00 19000.00 21500.00 24000.00 24000.00 24000.00
ERCP & STONE EXTRACTION WITH
25 25000.00 27500.00 30500.00 32500.00 32500.00 32500.00
ANESTHESIA
ERCP & STONE EXTRACTION WITHOUT
26 21000.00 24000.00 26500.00 28500.00 28500.00 28500.00
ANESTHESIA
27 ERCP STONE EXTRACTION & STENTING 29000.00 32000.00 36000.00 38500.00 38500.00 38500.00
ESOPHAGEAL STENTING WITHOUT
28 10000.00 11000.00 12500.00 15000.00 15000.00 15000.00
ANESTHESIA
NJ TUBE PLACEMENT WITHOUT
29 9500.00 11000.00 12500.00 14000.00 14000.00 14000.00
ANESTHESIA
30 PANCREATIC STENTING 21000.00 23000.00 26000.00 28500.00 28500.00 28500.00
31 PEG PLACEMENT WITHOUT ANESTHESIA 10500.00 11500.00 13000.00 15000.00 15000.00 15000.00
Procedure Charges, Anesthesia Charges, OT charges, Gases use in O.T.,
PACKAGES INCLUSION:-
C-Arm, Equipment Charges, O.T. Medicine & Consumble*.
* O.T. Medicine & Consumable:-
Medicine- Gloves 5 Pair, Face Mask, Dispo OT Cap, Glutorex
Consumable- Sphincterotone, Terumo Guidewire, Hydra zig zag, CRE Baloon, CBD Stone Extraction Baloon charges.

Room Charges, Doctor's Fees in ward, Investigation charges, Cost of Stent,

PACKAGES EXCLUSION:-
Medicine & Consumables other than inclusion will be charged extra.
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF OPERATION THEATER (w.e.f 01.03.2023)

w.e.f.- 01.03.2023
OPD/ SEMI. EXECUTIVE SUPER
S.N. PARTICULARS PRIVATE DELUXE
GEN. PRIVATE DELUXE DELUXE
SPECIALTY DEPARTMENT MAJOR O.T. CHARGES

1 SPECIALTY O.T.CHARGES(O-1HOURS) 1200.00 1500.00 2000.00 2500.00 2500.00 2500.00

2 SPECIALTY O.T.CHARGES(O-3HOURS) 1800.00 2500.00 3000.00 3500.00 3500.00 3500.00

3 SPECIALTY O.T.CHARGES(O-6 HOURS) 3500.00 4000.00 4500.00 5500.00 5500.00 5500.00

SPECIALTY O.T.CHARGES (AFTER 6

4 500.00 650.00 850.00 1050.00 1050.00 1050.00
HOURS) PER HOUR
SUPER SPECIALTY DEPARTMENT MAJOR O.T. CHARGES
SUPER SPECIALTY O.T CHARGES
1 2000.00 2750.00 3250.00 3750.00 3750.00 3750.00
( 0 - 1 HOURS)
SUPER SPECIALTY O.T CHARGES
2 3000.00 3500.00 4000.00 4500.00 4500.00 4500.00
( 0 - 3 HOURS)
SUPER SPECIALTY O.T CHARGES
3 4500.00 5000.00 5500.00 6000.00 6000.00 6000.00
( 0 - 6 HOURS)
SUPER SPECIALTY O.T CHARGES
4 500.00 650.00 850.00 1050.00 1050.00 1050.00
(AFTER 6 HOURS) PER HOUR
OTHER O.T. CHARGES
1 EMERGENCY O.T. CHARGES 800.00 850.00 900.00 1000.00 1000.00 1000.00
MAJOR O.T.CHARGES FOR O.P.D.
2 1200.00 1200.00 1200.00 1200.00 1200.00 1200.00
PROCEDURE (PER HOURS)
3 MINOR OT CHARGES 800.00 850.00 900.00 1000.00 1000.00 1000.00

4 O. T. DAY CARE(GEN. ANESTHESIA) 2000.00 2000.00 2000.00 2000.00 2000.00 2000.00

5 O. T. DAY CARE(LOCAL ANESTHESIA) 1200.00 1200.00 1200.00 1200.00 1200.00 1200.00

6 O.T PATIENT WARMER CHARGES 350.00 350.00 350.00 350.00 350.00 350.00

7 OT CHARGES (PAIN CLINIC) 1200.00 1500.00 2000.00 2500.00 2500.00 2500.00

 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF GASES

OPD/ SEMI. EXECUTIV SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE E DELUXE
1 OXYGEN CHARGES IN WARDS 65.00 65.00 65.00 65.00 65.00 65.00

2 OXYGEN CHARGES IN OT (PER HRS) 100.00 100.00 100.00 100.00 100.00 100.00

3 NITROGEN GAS CHARGES 315.00 315.00 315.00 315.00 315.00 315.00

4 OZONE (PER HOUR) 210.00 210.00 210.00 210.00 210.00 210.00

5 OXYGEN CHARGE FOR 24 IN ICU 2100.00 2100.00 2100.00 2100.00 2100.00 2100.00

6 OXYGEN CHARGE FOR 24 IN WARD 1800.00 1800.00 1800.00 1800.00 1800.00 1800.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF ANESTHESIA PROCEDURES

SEMI. EXECUTIV
OPD/ SUPER
S.N. PARTICULARS PRIVAT PRIVATE DELUXE E
GEN. WARD DELUXE
E DELUXE
PAIN CLINIC
1 CELIAC PLEXUS BLOCK 2625.00 3150.00 3675.00 3940.00 4200.00 4200.00
2 EPIDURAL INJ (STEROID) 1260.00 1575.00 1840.00 2100.00 2625.00 2625.00
3 FACET BLOCK 1260.00 1575.00 1840.00 2100.00 2625.00 2625.00
4 INTRA MUSCULAR OZONE 525.00 525.00 525.00 630.00 790.00 790.00
5 LABOUR ANALGESIA 2100.00 0.00 0.00 0.00 0.00 0.00
6 OZONE INJECTION 525.00 790.00 1050.00 1315.00 1575.00 1575.00
7 OZONE NUCLEOLYSIS 2625.00 3150.00 3675.00 3940.00 4200.00 4200.00
8 POST OPERATIVE PAIN RELIEF 55.00 55.00 55.00 105.00 105.00 105.00
9 SUPERIOR HYPOGASTRIC PLEXUS BLOCK 2625.00 2890.00 3150.00 3415.00 3675.00 3675.00
LIMPAR SYMPATHECTOMY
10 2625.00 3150.00 3675.00 3940.00 4200.00 4200.00
(CHEMICAL NEUROLYSIS)
11 STELLATE GANGLION BLOCK 2625.00 3150.00 3675.00 3940.00 4200.00 4200.00
12 MEDIAN BRACH BLOCK 2625.00 3150.00 3675.00 3940.00 4200.00 4200.00
13 DIAGNOSTIC NERVE BLOCK 525.00 735.00 840.00 1050.00 1260.00 1260.00
14 SACROILLIAC JOINT INJECTION 1050.00 1575.00 2100.00 3150.00 3150.00 3150.00
15 TRIGGER POINT INJECTION 525.00 735.00 840.00 1050.00 1260.00 1260.00
16 PAIN CLINIC PROCEDURE Any other Pain Clinic procedures
ANESTHESIA PROCEDURES
1 AXILLARY BRANCHIAL BLOCK USG GUIDED 525.00 735.00 945.00 1050.00 1260.00 2100.00
2 CAUDAL EPIDURAL 1050.00 1575.00 2100.00 3150.00 3150.00 3150.00
3 CVP LINE INSERTION USG GUIDED 1575.00 2100.00 2625.00 3150.00 3150.00 3150.00
4 ELBOW JOINT BLOCK USG GUIDED 525.00 735.00 840.00 1050.00 1260.00 2100.00
5 FEMORAL NERVE BLOCK USG GUIDED 525.00 525.00 525.00 525.00 525.00 1050.00
6 INTERCOSTAL N.BLOCK USG GUIDED 525.00 735.00 840.00 1050.00 1260.00 2100.00
7 INTERSCALENE BRACHIAL PLEXUS USG GUIDED 525.00 735.00 840.00 1050.00 1260.00 2100.00
INTRA ARTERIAL CANNULATION DERSALIS
8 210.00 315.00 420.00 525.00 525.00 1050.00
PEDIS ARTERY
INTRA ARTERIAL CANNULATION FEMORAL
9 210.00 315.00 420.00 525.00 525.00 1050.00
ARTER USG GUIDE
INTRA ARTERIAL CANNULATION RADIAL
10 525.00 735.00 840.00 1050.00 1260.00 2100.00
ARTERY USG GUIDE
11 MANDIBULAR NERVE BLOCK USG GUIDED 525.00 735.00 840.00 1050.00 1260.00 2100.00
12 MAXILLARY NERVE BLOCK USG GUIDED 525.00 735.00 840.00 1050.00 1260.00 2100.00
13 PAC CHARGES 105.00 105.00 210.00 210.00 265.00 265.00
14 POPLITEAL NERVE BLOCK USG GUIDED 525.00 735.00 840.00 1050.00 1260.00 2100.00
15 SAPHEROUS NERVE BLOCK USG GUIDED 525.00 735.00 840.00 1050.00 1260.00 2100.00
16 SCIATIC NERVE BLOCK USG GUIDED 525.00 735.00 840.00 1050.00 1260.00 2100.00
17 SUPERIOR CERVICAL PLEXUS USG GUIDED 525.00 735.00 840.00 1050.00 1260.00 2100.00
SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK
18 525.00 735.00 840.00 1050.00 1260.00 2100.00
USG GUIDED
19 THORACIC EPIDURAL 1050.00 1575.00 2100.00 3150.00 3150.00 3150.00
20 USG CHARGES 105.00 105.00 210.00 525.00 630.00 630.00
21 WRIST JOINT BLOCK USG GUIDED 525.00 735.00 840.00 1050.00 1260.00 2100.00
ANESTHESIA CHARGES IN O.T.
1 ANESTHESIA CHARGES UP TO 3 HRS SURGERY 20% 30% 30% 30% 30% 30%
ANESTHESIA CHARGES FOR MORE THAN 3 HRS
2 30% 30% 30% 30% 30% 30%
SURGERY
ANESTHESIA CHARGES OF SUPER SPECIALTY
3 30% 30% 30% 30% 30% 30%
DEPARTMENTS
4 MINIMUM CHARGES FOR ANESTHESIA. RS. 5,00/- (PER CASE)
5 MAXIMUM CHARGES FOR ANESTHESIA. RS. 10,000/- (PER CASE)

* ANESTHESIA CHARGES % CALCULATED ON SURGERY CHARGES.

* IN CASE OF 2 & MORE SURGERIES DONE IN SINGLE TIME THAN THE ANESTHESIA
TO BE CHARGED ONLY ON HIGHER SURGERY CHARGES.
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF GENERAL SURGERY w.e.f.- 24.05.2023

OPD/ SEMI. EXECUTIV SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE E DELUXE
1 ABCESS SMALL I & D ( LA ) 3500.00 4200.00 5000.00 6000.00 6900.00 7900.00
2 ABCESS SMALL I & D LARGE ( SA / 5250.00 6300.00 7875.00 10500.00 11550.00 12600.00
GA )
3 ABOVE KNEE AMPUTATION 12000.00 14400.00 17300.00 20800.00 23900.00 27500.00
4 ADHESIONALYSIS 12000.00 14400.00 17300.00 20800.00 23900.00 27500.00
5 ADVANCE LAPROSCOPIC SURGERY 36000.00 41400.00 47600.00 54700.00 60200.00 66200.00
CHG
6 ANAL DILATION 2625.00 3150.00 4200.00 5775.00 6300.00 6825.00
7 ANATOMICAL REPAIR 12000.00 14400.00 17300.00 20800.00 23900.00 27500.00
8 APPENDICECTOMY 15000.00 18000.00 21600.00 25900.00 29800.00 34300.00
9 APR / ANT RESECTION 25000.00 30000.00 36000.00 43200.00 49700.00 57200.00
10 AXILLARY CLEARANCE 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
11 BELOW KNEE AMPUTATION 15000.00 18000.00 21600.00 25900.00 29800.00 34300.00
12 BIOPSIES LARGE EXCISIONAL 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
13 BIOPSIES SMALL ( SA /GA ) 5000.00 6000.00 7200.00 8600.00 9900.00 11400.00
CBD EXPLORATION WTH
14 CHOLEDOCHOLITHOTOMY WTH T 18000.00 21600.00 25900.00 31100.00 35800.00 41200.00
TUBE
15 CENTRAL LINE INSERTION 5000.00 6000.00 7200.00 8600.00 9900.00 11400.00
16 CHEST STARAPPING 1500.00 1800.00 2200.00 2600.00 3000.00 3500.00
17 CHOLECYSTECTOMY OPEN 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
18 CHOLEDOCHOLITHOTOMY 18000.00 21600.00 25900.00 31100.00 35800.00 41200.00
19 CIRCUMCISSION ( LA ) 5000.00 6000.00 7200.00 8600.00 9900.00 11400.00
20 CIRCUMCISSION ( SA ) 7000.00 8400.00 10100.00 12100.00 13900.00 16000.00
21 CUT BACK ANOPLASTY 15000.00 18000.00 21600.00 25900.00 29800.00 34300.00
CUT BACK ANOPLASTY ITHI
22 25000.00 30000.00 36000.00 43200.00 49700.00 57200.00
DIVERGENT COLOSTOMY
23 CYSTO GASTROSTOMY 25000.00 30000.00 36000.00 43200.00 49700.00 57200.00
24 DEBRIDEMENT LARGE 5000.00 6000.00 7200.00 8600.00 9900.00 11400.00
25 DEBRIDEMENT SMALL ( LA ) 3500.00 4200.00 5000.00 6000.00 6900.00 7900.00
26 DIAGNOSTIC LAPROSCOPY 12000.00 13800.00 15900.00 18300.00 20100.00 22100.00
27 SURGERY CHG 1500.00 1800.00 2200.00 2600.00 3000.00 3500.00
DRESSING GA
ENBLOCK RADICAL SURG. eg
28 30000.00 36000.00 43200.00 51800.00 59600.00 68500.00
RADICAL GASTRECTORY
29 EXPLORATORY LAPAROTORY FOR 18000.00 21600.00 25900.00 31100.00 35800.00 41200.00
30 LUMPS 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
FASCIOTOMY
FEEDING JEJUNOSTOMY /
31 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
GASTROCTOMY
FIBROADENOMA BILATERAL
32 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
GIANT ( GA )
FIBROADENOMA BILATERAL
33 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
SMALL ( GA )
FIBROADENOMA BILATERAL
34 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
SMALL ( LA )
FIBROADENOMA UNILATERAL
35 7000.00 8400.00 10100.00 12100.00 13900.00 16000.00
GIANT ( GA )
FIBROADENOMA UNILATERAL
36 7000.00 8400.00 10100.00 12100.00 13900.00 16000.00
SMALL ( GA )
FIBROADENOMA UNILATERAL
37 7000.00 8400.00 10100.00 12100.00 13900.00 16000.00
SMALL ( LA )
38 FIREARM INJURY CHEST 35000.00 42000.00 50400.00 60500.00 69600.00 80000.00
\ABDOMEN EXPLORATION
39 FISSURECTOMY 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
40 FISTULA EXCISION 18000.00 21600.00 25900.00 31100.00 35800.00 41200.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF GENERAL SURGERY w.e.f.- 24.05.2023

OPD/ SEMI. EXECUTIV SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE E DELUXE
41 FISTULECTOMY 18000.00 21600.00 25900.00 31100.00 35800.00 41200.00
42 FOURNIER'S GANGRENE 18000.00 21600.00 25900.00 31100.00 35800.00 41200.00
DEBRIDEMENT
43 FUNDOPLICATION 18000.00 21600.00 25900.00 31100.00 35800.00 41200.00
44 FUNDOPLICATION WITH 20000.00 24000.00 28800.00 34600.00 39800.00 45800.00
VAGOTOMY
45 GALL BLADDER LUMPS 3675.00 4725.00 5775.00 7350.00 8925.00 11025.00
46 GASTRECTOMY PARTIAL 25000.00 30000.00 36000.00 43200.00 49700.00 57200.00
47 GASTRECTOMY TOTAL 35000.00 42000.00 50400.00 60500.00 69600.00 80000.00
48 GASTRO JEJUNOSTOMY 18000.00 21600.00 25900.00 31100.00 35800.00 41200.00
49 GASTRO JEJUNOSTOMY WITH 25000.00 30000.00 36000.00 43200.00 49700.00 57200.00
VAGOTOMY
50 GIANT INCISIONAL HERNIA 28000.00 33600.00 40300.00 48400.00 55700.00 64100.00
51 GYNAECOMASTIA EXCISION 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
52 HAEMORRHOIDECTOMY 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
53 HEPATICOJEJUNOSTOMY 35000.00 42000.00 50400.00 60500.00 69600.00 80000.00
54 HERNIOPLASTY BILETERAL 15000.00 18000.00 21600.00 25900.00 29800.00 34300.00
55 HERNIOPLASTY UNILETERAL 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
56 HERNIORAPHY UNILETERAL 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
57 HERNIORHAPHY BILETERAL 12000.00 14400.00 17300.00 20800.00 23900.00 27500.00
58 HERNIOTOMY BILETERAL 12000.00 14400.00 17300.00 20800.00 23900.00 27500.00
59 HERNIOTOMY UNILETERAL 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
HYDROCOELE EVERSION OF SAC
60 5000.00 6000.00 7200.00 8600.00 9900.00 11400.00
BILATERAL ( LA )
HYDROCOELE EVERSION OF SAC
61 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
BILATERAL ( SA )
62 HYDROCOELE EVERSION OF SAC 5000.00 6000.00 7200.00 8600.00 9900.00 11400.00
UNILATERAL ( LA )
63 HYDROCOELE EVERSION OF SAC 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
UNILATERAL ( SA )
64 ICTD 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
65 ILEOSTOMY / COLOSTOMY 15000.00 18000.00 21600.00 25900.00 29800.00 34300.00
66 ILEOSTOMY / COLOSTOMY 20000.00 24000.00 28800.00 34600.00 39800.00 45800.00
CLOSURE
INTER COSTAL DRAINAGE TUBE
67 5000.00 6000.00 7200.00 8600.00 9900.00 11400.00
INSERTION
68 LAPAROSCOPY CBD 25000.00 28800.00 33100.00 38100.00 41900.00 46100.00
EXPLORATION SURGERY CHG
LAPAROSCOPY THORACOSCOPY
69 30000.00 34500.00 39700.00 45700.00 50300.00 55300.00
SURGERY CHG
70 LAPAROTOMY & 20000.00 24000.00 28800.00 34600.00 39800.00 45800.00
MARISUPILIZATION
71 LAPAROTOMY & OPEN DRAINAGE 20000.00 24000.00 28800.00 34600.00 39800.00 45800.00
ABSCESS
72 LAPROSCOPIC APENDICTOMY 12000.00 13800.00 15900.00 18300.00 20100.00 22100.00
SURGERY CHG
LAPROSCOPIC APPENDICECTOMY
73 12000.00 13800.00 15900.00 18300.00 20100.00 22100.00
SURGERY CHG

74 LAPROSCOPIC 12000.00 13800.00 15900.00 18300.00 20100.00 22100.00

CHOLECYSTECTOMY
75 LAPROSCOPIC HYDATIC CYST 25000.00 28800.00 33100.00 38100.00 41900.00 46100.00
LIVER / ABSCESS SURGERY
76 LAPROSCOPIC INGUINAL HERNIA 20000.00 23000.00 26500.00 30500.00 33600.00 37000.00
SURGERY CHG
77 LAPROSCOPIC LAVH SURGERY 30000.00 34500.00 39700.00 45700.00 50300.00 55300.00
CHG
78 LAPROSCOPIC OVARIAN CYST 20000.00 23000.00 26500.00 30500.00 33600.00 37000.00
SURGERY CHG
79 LAPROSCOPIC RECTOPEXY 30000.00 34500.00 39700.00 45700.00 50300.00 55300.00
SURGERY CHG
80 LAPROSCOPIC SURGERIES 9450.00 10900.00 12500.00 14400.00 15800.00 17400.00
SURGERY CHG
81 LAPROSCOPIC VENTRAL HERNIA 25000.00 28800.00 33100.00 38100.00 41900.00 46100.00
82 SURGERY CHG 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
LARGE SUPERFICIAL SWELLINGS
LATERAL INTERNAL
83 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
SPHINCTEROTOMY
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF GENERAL SURGERY w.e.f.- 24.05.2023

OPD/ SEMI. EXECUTIV SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE E DELUXE
84 LIVER ABSCESS OPEN DRAINAGE 18000.00 21600.00 25900.00 31100.00 35800.00 41200.00
85 LPJ ( CHRONIC PANCREATITIS ) 35000.00 42000.00 50400.00 60500.00 69600.00 80000.00
86 LUMBAR SYMPATHECTOMY 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
87 MECKEL'S DIVERTICULUM 20000.00 24000.00 28800.00 34600.00 39800.00 45800.00
RESECTION AND ANASTOMOSIS
88 MESH HERNIOPLASTY 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
89 MRM 20000.00 24000.00 28800.00 34600.00 39800.00 45800.00
90 OMENTECTOMY 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
ORCHIDECTOMY ( HIGH INGUINAL
91 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
)
92 ORCHIDECTOMY ( SCROTAL ) 10000.00 12000.00 14400.00 17300.00 19900.00 22900.00
93 ORCHIDOPEXY 12000.00 14400.00 17300.00 20800.00 23900.00 27500.00
94 PERITONEAL TOILETING 15000.00 18000.00 21600.00 25900.00 29800.00 34300.00
95 PILES D G H A L SURGERY CHG 20000.00 23000.00 26500.00 30500.00 33600.00 37000.00
96 PILONIDAL SINUS EXSICION WITH 20000.00 24000.00 28800.00 34600.00 39800.00 45800.00
REPAIR
RADICAL EN BLOCK SURGERY FOR
97 35000.00 42000.00 50400.00 60500.00 69600.00 80000.00
CANCER
98 RAY S AMPUTATION 5000.00 6000.00 7200.00 8600.00 9900.00 11400.00
RECTO VESICAL / RCTO VAGINAL
99 40000.00 48000.00 57600.00 69100.00 79500.00 91400.00
FTULA / VSICO VAGINAL

100 RECTOPEXY 25000.00 30000.00 36000.00 43200.00 49700.00 57200.00

101 RESECTION OF LARGE TUMOURS 25000.00 30000.00 36000.00 43200.00 49700.00 57200.00
102 RESECTION OF MASSIVE 25000.00 30000.00 36000.00 43200.00 49700.00 57200.00
TUMOURS
103 RESECTION OF MASSIVE 25000.00 30000.00 36000.00 43200.00 49700.00 57200.00
TUMOURS (NORMAL)
104 RT / LT HEMICOLECTOMY 30000.00 36000.00 43200.00 51800.00 59600.00 68500.00
105 SACROPERINEAL PULL THROUGH 8000.00 9600.00 11500.00 13800.00 15900.00 18300.00
WITH ANOPLASTY
106 SECONDARY SUTURING ( GA ) 5000.00 6000.00 7200.00 8600.00 9900.00 11400.00
107 SECONDARY SUTURING ( LA ) 3500.00 4200.00 5000.00 6000.00 6900.00 7900.00
108 SIMPLE MASTECTOMY 20000.00 24000.00 28800.00 34600.00 39800.00 45800.00

109 SINUS 8000.00 9600.00 11500.00 13800.00 15900.00 18300.00

110 SMALL BOWEL R & A 20000.00 24000.00 28800.00 34600.00 39800.00 45800.00
SOFT TISSUE SWELLINGS LARGE
111 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
EXCISION
SOFT TISSUE SWELLINGS SMALL
112 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
EXCISION ( GA )
SOFT TISSUE SWELLINGS SMALL
113 5000.00 6000.00 7200.00 8600.00 9900.00 11400.00
EXCISION ( LA )
114 SPLENECTOMY 30000.00 36000.00 43200.00 51800.00 59600.00 68500.00

115 STRICTEROPLASTY 15000.00 18000.00 21600.00 25900.00 29800.00 34300.00

 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF GENERAL SURGERY w.e.f.- 24.05.2023

OPD/ SEMI. EXECUTIV SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE E DELUXE
116 SUPRAPUBLIC CYSTOSTOMY 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00

117 SUTURING ( SMALL WOUNDS ) 3500.00 4200.00 5000.00 6000.00 6900.00 7900.00

118 SUTURING (LARGE WOUNDS ) 5000.00 6000.00 7200.00 8600.00 9900.00 11400.00

119 TRIPPLE BYPASS 35000.00 42000.00 50400.00 60500.00 69600.00 80000.00

120 UPPER LIMB AMPUTATION 15000.00 18000.00 21600.00 25900.00 29800.00 34300.00

121 Vaginoplasty 4200.00 5250.00 6825.00 8925.00 10500.00 11550.00

122 Vagnioplasty With SSG 13125.00 14700.00 16800.00 18900.00 19950.00 19950.00

VARICOCELE EXCISION AND

123 7500.00 9000.00 10800.00 13000.00 15000.00 17300.00
LIGATION
VARICOSE VEIN LIGATION OF
124 15000.00 18000.00 21600.00 25900.00 29800.00 34300.00
MULTIPLE PERFORATORS
VARICOSE VEIN LIGATN OF MPLE
125 15000.00 18000.00 21600.00 25900.00 29800.00 34300.00
PERFORATOR (STRIPPING
VENTRAL / UMBILICAL ( MESH
126 15000.00 18000.00 21600.00 25900.00 29800.00 34300.00
HERNIOPLASTY )

127 WHIPPLE S PROCEDURE 40000.00 48000.00 57600.00 69100.00 79500.00 91400.00

Wide Enblock Excision Of Malignant

128 20000.00 24000.00 28800.00 34600.00 39800.00 45800.00
Tissuse Tumour
 SHRI RAM MURTI SMARAK INSTITUTE OF MEDICAL SCIENCES BAREILLY.
RATE LIST OF PAEDIATRIC SURGERY

OPD/
SEMI. EXECUTI SUPER
S.NO. PARTICULARS GEN. PRIVATE DELUXE
PRIVATE VE DELUXE
WARD
DELUXE
PAEDIATRIC GENERAL SURGERY
1 Circumcision 5,000 5,500 6,100 7,000 8,100 9,300
2 Examination under Anesthesia-Minor 3,000 3,300 3,600 4,100 4,700 5,400
3 Examination under Anesthesia-Major 5,000 5,500 6,100 7,000 8,100 9,300
4 Excision Biopsy 8,000 8,800 9,700 11,200 12,900 14,800
5 Incision and Drainage 2,000 2,200 2,400 2,800 3,200 3,700
6 Inguinal Herniotomy - Unilateral 8,000 8,800 9,700 11,200 12,900 14,800
7 Inguinal Herniotomy -Bilateral 10,000 11,000 12,100 13,900 16,000 18,400
8 Umbilical Hernia Repair 7,000 7,700 8,500 9,800 11,300 13,000
9 Miscellaneous - Minor 2,000 2,200 2,400 2,800 3,200 3,700
10 Miscellaneous - Intermediate 8,000 8,800 9,700 11,200 12,900 14,800
11 Miscellaneous - Major 12,500 13,800 15,200 17,500 20,100 23,100
12 Miscellaneous - Supramajor 15,000 16,500 18,200 20,900 24,000 27,600
13 Rectal Biopsy 5,000 5,500 6,100 7,000 8,100 9,300
PAEDIATRIC HEAD AND NECK SURGERIES
14 Branchial Cyst / Sinus Excision 8,000 8,800 9,700 11,200 12,900 14,800
15 Lymphangioma Excision - Major 12,000 13,200 14,500 16,700 19,200 22,100
16 Lymphangioma Excision - Minor 9,000 9,900 10,900 12,500 14,400 16,600
17 Lymphnode Biopsy 4,000 4,400 4,800 5,500 6,300 7,200
18 Salivary Gland Excision 8,000 8,800 9,700 11,200 12,900 14,800
19 Sternomastoid Tenotomy 6,000 6,600 7,300 8,400 9,700 11,200
20 Thyroglossal Cyst Excision 9,000 9,900 10,900 12,500 14,400 16,600
21 Thyroidectomy 12,000 13,200 14,500 16,700 19,200 22,100
22 Tracheostomy 5,000 5,500 6,100 7,000 8,100 9,300
23 Tongue Tie Release 5,000 5,500 6,100 7,000 8,100 9,300
PAEDIATRIC THORACIC SURGERY
24 Bronchoscopy - Diagnostic 8,000 8,800 9,700 11,200 12,900 14,800
25 Bronchoscopy - Therapeutic 10,000 11,000 12,100 13,900 16,000 18,400
26 Fibre-optic Bronchcoscopy 5,000 5,500 6,100 7,000 8,100 9,300
27 Eventeration of Diaphragm- Repair 15,000 16,500 18,200 20,900 24,000 27,600
28 Lobectomy / Pneumonectomy 20,000 22,000 24,200 27,800 32,000 36,800
29 Oesophageal Dilatation 5,000 5,500 6,100 7,000 8,100 9,300
30 Oesophageal Substitution 30,000 33,000 36,300 41,700 48,000 55,200
31 Oesophagoscopy - Diagnostic 4,000 4,400 4,800 5,500 6,300 7,200
32 Thoracoscopy - Diagnostic 10,000 11,000 12,100 13,900 16,000 18,400
33 Thoracotomy - Decortication 15,000 16,500 18,200 20,900 24,000 27,600
34 Intercostal Drainage 2,500 2,800 3,100 3,600 4,100 4,700
35 Foreign Body Removal - Bronchoscopy 5,000 5,500 6,100 7,000 8,100 9,300
36 Foreign Body Removal - Laryngoscopy 3,000 3,300 3,600 4,100 4,700 5,400
37 Mediastinal cyst excision 15,000 16,500 18,200 20,900 24,000 27,600
38 Thracoscopic resections 20,000 22,000 24,200 27,800 32,000 36,800
PAEDIATRIC NEUROSURGERY
39 V.P.Shunt 12,500 13,800 15,200 17,500 20,100 23,100
40 Meningocele / Myelomeningocele Repair 15,000 16,500 18,200 20,900 24,000 27,600
 PAEDIATRIC NEONATAL SURGERY
41 Anorectal Malformation - Colostomy 12,000 13,200 14,500 16,700 19,200 22,100
42 Anorectal Malformation - Anoplasty 10,000 11,000 12,100 13,900 16,000 18,400
43 Diaphragmatic Hernia Repair 15,000 16,500 18,200 20,900 24,000 27,600
44 Gastroschisis / Exompholos 20,000 22,000 24,200 27,800 32,000 36,800
45 Neonatal Intestinal Obstruction 20,000 22,000 24,200 27,800 32,000 36,800
46 Oes. Atresia/T.O.Fistula-Primary Repair 25,000 27,500 30,300 34,800 40,000 46,000
47 Oes. Atresia-Gastrostomy/Oesophagostomy 15,000 16,500 18,200 20,900 24,000 27,600
48 Sacrococcygeal Teratoma 20,000 22,000 24,200 27,800 32,000 36,800
49 Levelling Biopsy 12,000 13,200 14,500 16,700 19,200 22,100
PAEDIATRIC ABDOMINAL SURGERY (G.I.T.)
50 Psoas Abscess 10,000 11,000 12,100 13,900 16,000 18,400
51 Anal Transposition 10,000 11,000 12,100 13,900 16,000 18,400
52 Appendicectomy 10,000 11,000 12,100 13,900 16,000 18,400
53 Colostomy Closure 10,000 11,000 12,100 13,900 16,000 18,400
54 Colostomy 10,000 11,000 12,100 13,900 16,000 18,400
PAEDIATRIC DIAGNOSTIC LAPAROSCOPY
55 Fundoplication 20,000 22,000 24,200 27,800 32,000 36,800
56 Heller's Cardiomyotomy 20,000 22,000 24,200 27,800 32,000 36,800
57 Laparotomy- Simple 15,000 16,500 18,200 20,900 24,000 27,600
58 Laparotomy- Complicated 20,000 22,000 24,200 27,800 32,000 36,800
59 P.S.A.R.P. for Anorectal Malformations 20,000 22,000 24,200 27,800 32,000 36,800
60 Pullthrough for Hirschprung's Disease 25,000 27,500 30,300 34,800 40,000 46,000
61 Pyloromyotomy for Hyp. Pyl.Stenosis 15,000 16,500 18,200 20,900 24,000 27,600
62 Rectal Polypectomy 5,000 5,500 6,100 7,000 8,100 9,300
63 Rectal Prolapse - Thiersch's Stitch 15,000 16,500 18,200 20,900 24,000 27,600
64 Rectopexy 8,000 8,800 9,700 11,200 12,900 14,800
65 Sigmoidoscopy 3,000 3,300 3,600 4,100 4,700 5,400
66 Colonoscopy - Diagnostic 3,000 3,300 3,600 4,100 4,700 5,400
67 Colonoscopy - Theraupetic 4,000 4,400 4,800 5,500 6,300 7,200
68 Total Colectomy 20,000 22,000 24,200 27,800 32,000 36,800
69 Secondary Suturing 4,000 4,400 4,800 5,500 6,300 7,200
PAEDIATRIC ABDOMINAL SURGERY (HEPATO BILIARY)
70 Biliary Atresia - Kasai Procedure 25,000 27,500 30,300 34,800 40,000 46,000
71 Biliary Atresia - Operative Cholangiography 7,500 8,300 9,100 10,500 12,100 13,900
72 Cholecystectomy 12,500 13,800 15,200 17,500 20,100 23,100
73 Choledochal Cyst Excision 25,000 27,500 30,300 34,800 40,000 46,000
PAEDIATRIC HEPATIC RESECTION
74 Pancreatectomy 25,000 27,500 30,300 34,800 40,000 46,000
75 Pancreatico - Enteric Anastomosis 15,000 16,500 18,200 20,900 24,000 27,600
76 Portal Hypertension - Devascularisation 15,000 16,500 18,200 20,900 24,000 27,600
77 Portal Hypertension - Shunt Procedure 20,000 22,000 24,200 27,800 32,000 36,800
78 Pseudocyst of Pancreas - Internal Drainage 12,500 13,800 15,200 17,500 20,100 23,100
79 Splenectomy 12,500 13,800 15,200 17,500 20,100 23,100
80 Liver Biopsy - open method 6,000 6,600 7,300 8,400 9,700 11,200
81 Liver Biopsy - Trucut method 4,000 4,400 4,800 5,500 6,300 7,200
 PAEDIATRIC UROLOGY
82 Bladder Exstrophy - Single Stage 25,000 27,500 30,300 34,800 40,000 46,000
83 Bladder Exstrophy - Each Stage 15,000 16,500 18,200 20,900 24,000 27,600
84 Vesicostomy 10,000 11,000 12,100 13,900 16,000 18,400
85 Continent Diversion 12,000 13,200 14,500 16,700 19,200 22,100
86 Cystolithotomy 7,500 8,300 9,100 10,500 12,100 13,900
87 Cystoscopic Fulguration 4,000 4,400 4,800 5,500 6,300 7,200
88 Cystoscopy - Diagnostic 3,000 3,300 3,600 4,100 4,700 5,400
89 Cystoscopy + DJ Stenting 5,000 5,500 6,100 7,000 8,100 9,300
90 Cystoscopy + RGP 5,500 6,100 6,700 7,700 8,900 10,200
91 Epispadias Repair 12,500 13,800 15,200 17,500 20,100 23,100
92 Feminising Genitoplasty 12,500 13,800 15,200 17,500 20,100 23,100
93 Hypospadias - One Stage Repair 18,000 19,800 21,800 25,100 28,900 33,200
94 Hypospadias - Staged Repair 12,500 13,800 15,200 17,500 20,100 23,100
95 Hypospadias - fistula Closure 10,000 11,000 12,100 13,900 16,000 18,400
96 Meatoplasty 5,000 5,500 6,100 7,000 8,100 9,300
97 Mitrafanoff Precedure 12,500 13,800 15,200 17,500 20,100 23,100
98 Nephrectomy - Radical 20,000 22,000 24,200 27,800 32,000 36,800
99 Nephrectomy - Simple 15,000 16,500 18,200 20,900 24,000 27,600
100 Orchidectomy - Radical 12,500 13,800 15,200 17,500 20,100 23,100
101 Orchidectomy - Simple 10,000 11,000 12,100 13,900 16,000 18,400
102 Orchidopexy - Unilateral 10,000 11,000 12,100 13,900 16,000 18,400
103 Orchidopexy - Bilateral 12,500 13,800 15,200 17,500 20,100 23,100
104 Pyelolithotomy 12,500 13,800 15,200 17,500 20,100 23,100
105 Pyeloplasty 18,000 19,800 21,800 25,100 28,900 33,200
106 Ureteric Re-implantation - Bilateral 18,000 19,800 21,800 25,100 28,900 33,200
107 Ureteric Re-implantation - Unilateral 15,000 16,500 18,200 20,900 24,000 27,600
108 Ureterolithotomy 12,500 13,800 15,200 17,500 20,100 23,100
109 Urethral Dilatation 1,500 1,700 1,900 2,200 2,500 2,900
110 Urinary Conduit 15,000 16,500 18,200 20,900 24,000 27,600
111 Ureterostomy - Unilateral 10,000 11,000 12,100 13,900 16,000 18,400
112 Ureterostomy - Bilateral 15,000 16,500 18,200 20,900 24,000 27,600
113 Suprapubic Cystostomy - open method 7,000 7,700 8,500 9,800 11,300 13,000
114 Suprapubic Cystostomy - Trocar method 3,000 3,300 3,600 4,100 4,700 5,400
115 PCN 5,000 5,500 6,100 7,000 8,100 9,300
116 Torsion Testis 10,000 11,000 12,100 13,900 16,000 18,400
117 Renal Biopsy - Trucut 1,500 1,700 1,900 2,200 2,500 2,900
118 Genitoscopy 4,000 4,400 4,800 5,500 6,300 7,200
119 Ureterocele 10,000 11,000 12,100 13,900 16,000 18,400
120 Augmentation 20,000 22,000 24,200 27,800 32,000 36,800
121 Scrotal transposition correction 7,500 8,300 9,100 10,500 12,100 13,900
122 Heminephrectomy 15,000 16,500 18,200 20,900 24,000 27,600
PAEDIATRIC MISCELLANEOUS
123 Wound Debridement - Minor 1,500 1,700 1,900 2,200 2,500 2,900
124 Wound Debridement - Major 4,000 4,400 4,800 5,500 6,300 7,200
PAEDIATRIC ONCOLOGY
125 Chemoport Procedure only 8,000 8,800 9,700 11,200 12,900 14,800
126 Chemoport Removal 2,500 2,800 3,100 3,600 4,100 4,700
127 Chemoport with Implant 20,000 22,000 24,200 27,800 32,000 36,800
PAEDIATRIC PROCEDURES
128 Pocus Procedure 1,500 1,500 1,500 1,500 1,500 1,500
129 Intratracheal Surfactant Installation 5,000 5,000 5,000 5,000 5,000 5,000
 SRMS IMS BAREILLY
RATE LIST OF ORTHOPAEDICS (w.e.f. 19.05.2023)

Gen. W Semi Executive Super

S.N. Particular Private Deluxe
/OP Free Pvt. Deluxe Deluxe

1 A/E SLAB CHILD 1000 1300 1500 1700 1900 2100

2 A/K CAST CHILD 3000 3800 4400 4800 5500 6100

3 A/K SLAB SHILD 1000 1300 1500 1700 2000 2200

4 A/E CAST CHILD 3000 3800 4400 4800 5500 6100

5 A/E SLAB ADULT 1500 1900 2200 2400 2800 3100

6 A/K CAST ADULT 3000 3800 4400 4800 5500 6100

7 SHOULDER SPICA CHILD 5000 6300 7200 7900 9100 10500

8 SHOULDER SPICA ADULT 5000 6300 7200 7900 9100 10500

9 HIP SPICA CHILD 5000 6300 7200 7900 9100 10500

10 HIP SPICA ADULT 5000 6300 7200 7900 9100 10500

11 I/A INJECTION 1000 1300 1500 1700 2000 2300

12 DIAGONOSTICS ORTHOSCOPY 6000 7500 8600 9500 10900 12500

13 TRACTION 1500 1900 2200 2400 2800 3100

14 PLASTER 3000 3800 4400 4800 5500 6100

15 REMOVAL OF PLASTER MINOR 500 600 700 800 900 1000

16 REMOVAL OF PLASTER MAJOR 7500 9400 10800 11900 13700 15100

17 CTEV CAST 3000 3800 4400 4800 5500 6100

18 LOCAL INFILTERATION 1000 1300 1500 1700 2000 2200

COLLES FRACTURE EXTERNAL

19 13000 16300 18700 20600 23700 27300
FIXATURE(ZESS)

20 FRACTURE CLAVICLE PLANTING 18000 22500 25900 28500 32800 36100

21 ARTHRODESIS (FOOT & ANKLE) 20000 25000 28800 31700 36500 42000

22 ARTHRODEDIS (SHOULDER & ARM) 20000 25000 28800 31700 36500 42000

23 ARTHRODEDIS (ELBOW) 18000 22500 25900 28500 32800 37700

24 CORRECTIVE OSTEOTOMY (WRIST) 16000 20000 23000 25300 29100 33500

25 KWIRE FIXATION COLLES FRACTURE 10000 12500 14400 15800 18200 20900
 SRMS IMS BAREILLY
RATE LIST OF ORTHOPAEDICS (w.e.f. 19.05.2023)

Gen. W Semi Executive Super

S.N. Particular Private Deluxe
/OP Free Pvt. Deluxe Deluxe

1 A/E SLAB CHILD 1000 1300 1500 1700 1900 2100

KWIRE / MINI PLATE FIXATION FINGER

26 10000 12500 14400 15800 18200 20900
TOES, META CARP

27 JESS FIXATION HAND, FINGER 12000 15000 17300 19000 21900 25200

28 MINOR WOUND DRESSING 200 300 300 300 300 300

29 MAJOR WOUND DRESSING 500 600 700 800 900 1000

30 ELBOW ARTHODESIS 18000 22500 25900 28500 32800 37700

31 ASPIRATION OF JOINT 1000 1300 1500 1700 2000 2200

CLOSED REDN. OF FRACT & DISLOCATION

32 3500 4400 5100 5600 6400 7000
CHILD BELOW 12
CLOSED REDN. OF FRACT & DISLOCATIONS -
33 4000 5000 5800 6400 7400 8100
ADULTS

34 INTRA ARTICULAR INJECTION 1000 1300 1500 1700 2000 2200

MAJOR WOUND DRESSING

35 500 600 700 800 900 1000
(EXCL OF MAT. / PLASTER)

36 MANIPULATION (GA) 3500 4400 5100 5600 6400 7000

37 MAJOR SUTURING UNDER L.A. 5000 6300 7200 7900 9100 10000

38 SKELETAL TRACTION FOR PREOP . PURPOSE 4000 5000 5800 6400 7400 8100

SKIN TRACTION\THOMAS SPLINT FOR

39 1500 1900 2200 2400 2800 3100
PREOP. PURPOSE

40 STRAPPING 1500 1900 2200 2400 2800 3100

41 TRIGGER FINGER INJECTION 1000 1300 1500 1700 2000 2200

GR 0 PLASTERING FOR FRACTURE BELOW

42 2000 2500 2900 3200 3700 4100
ELBOW
GR 0 PLASTERING FOR FRACTURE ABOVE
43 3000 3800 4400 4800 5500 6100
ELBOW
GR 0 PLASTERING FOR FRACTURE BELOW
44 3000 3800 4400 4800 5500 6100
KNEE
GR 0 PLASTERING FOR FRACTURE ABOVE
45 3000 3800 4400 4800 5500 6100
KNEE

46 GR 0 REMOVAL OF PLASTER MINOR 500 600 700 800 900 1000

47 GR 0 REMOVAL OF PLASTER MAJOR 750 900 1000 1100 1300 1400

48 REMOVAL OF PLASTER FINGER SPLINT 250 400 500 600 700 800

CLUB FOOT (CTEV) MANIPULATION (FOOT &

49 1500 2200 2500 2800 3200 3500
ANKLE)
 SRMS IMS BAREILLY
RATE LIST OF ORTHOPAEDICS (w.e.f. 19.05.2023)

Gen. W Semi Executive Super

S.N. Particular Private Deluxe
/OP Free Pvt. Deluxe Deluxe

1 A/E SLAB CHILD 1000 1300 1500 1700 1900 2100

COMPRESSION BANDAGE( ROBERT JONES)

50 700 900 1100 1300 1500 1700
(MISC.)

51 GR 1 LIIZAROV EXTERNAL FIXATOR 1500 1900 2200 2400 2800 3100

52 INGROWING TOE NAIL (FOOT & ANKLE) 5000 6300 7200 7900 9100 10000

53 GR 1 KNEE DIAGNOSTIC ARTHROSCOPY 8000 10000 11500 12700 14600 16100

54 EPIDURAL STEROID INJECTION (SPINE) 5000 6300 7200 7900 9100 10000

55 BIOPSY MINOR (MISC.) 3500 4400 5100 5600 6400 7000

56 BIOPSY MAJOR (MISC.) 6000 7500 8600 9500 10900 12500

57 CLOSED REDUCTION OF FRACTURE / DISL. 5000 6300 7200 7900 9100 10500

58 WOUND CLOSURE- MINOR (MISC.) 2500 3100 3600 4000 4600 5300

K`WIRING OF FRACTURES/DISLOCATION
59 10000 12500 14400 15800 18200 20900
(FOOT & ANKLE)

60 LSFRANKS AMPULATION (FOOT & ANKLE) 10000 12500 14400 15800 18200 20900

61 STENDLER'S RELEASE (FOOT & ANKLE) 6000 7500 8600 9500 10900 12500

CLOSED REDUCTION OF HIP DISLOCATION

62 5000 6300 7200 7900 9100 10500
(HIP)

63 FIBULECTOMY (LEG) 10000 12500 15600 17200 19800 22800

64 ACROMIOCRAVICULAR FIXATION 13000 16300 18700 20600 23700 26100

ACROMIOCRAVICULAR FIXATION
65 18000 22500 25900 28500 32800 36100
RECONSTRUCTION
ARTHROTOMY / EXPLORATION (MINOR
66 8000 10000 11500 12700 14600 16100
JOINT)
ARTHROTOMY / EXPLORATION (MAJOR
67 10000 12500 14400 15800 18200 20000
JOINT)
CLOSED REDUCTION HUMERUS FRACTURES
68 5000 6300 7200 7900 9100 10500
/ MR &CAST APPL
REDUCTION OF ELBOW UNDER G.A.
69 5000 6300 7200 7900 9100 10500
(ELBOW)

70 SYNOVECTOMY OPEN 8000 10000 11500 12700 14600 16800

71 TENNIS ELBOW OPERATION (ELBOW) 10000 12500 14400 15800 18200 20900

EXCISION OF LOWER END OF ULNA (

72 8000 10000 11500 12700 14600 16100
WRIST)
SYNOVECTOMY / ARTHROTOMY /
73 13000 16300 18700 20600 23700 26100
EXPLORATION ( WRIST)
 SRMS IMS BAREILLY
RATE LIST OF ORTHOPAEDICS (w.e.f. 19.05.2023)

Gen. W Semi Executive Super

S.N. Particular Private Deluxe
/OP Free Pvt. Deluxe Deluxe

1 A/E SLAB CHILD 1000 1300 1500 1700 1900 2100

74 ACROMION EXCISION (MISC.) 9000 11300 13000 14300 16400 18000

75 AMPUTATIONS-MINOR (MISC.) 8000 10000 11500 12700 14600 16100

76 CALCANIAL SPUR EXCISION 8000 10000 11500 12700 14600 16100

77 CLOSED RED. OF FRACTURE / DISCL 5000 6300 7200 7900 9100 10500

78 COLD ABACESS DRAINAGE 5000 6300 7200 7900 9100 10500

79 SKELETAL TRACTION 6000 7500 8600 9500 10900 12500

80 SKIN TRACTION 2500 3000 3600 4300 4900 5600

81 TENOTOMIES 6000 7500 8600 9500 10900 12000

82 BLAIR`S FUSION (FOOT & ANKLE) 13000 16300 18700 20600 23700 27300

83 CALCANEAL OSTEOTOMY (FOOT & ANKLE) 15000 18800 21600 23800 27400 31500

CORRECTION OF HAMMER TOES

84 9000 11300 13000 14300 16400 18900
(FOOT & ANKLE)
CTEV CORRECTION USING JESS EXT
85 13000 16300 18700 20600 23700 26100
(FOOT & ANKLE)

86 F&A HALLUX VALGUS-CORRECTION 13000 16300 18700 20600 23700 26100

87 F&A ORIF JONES FRACTURE 9000 11300 13000 14300 16400 18000

88 SOFT TISSUE RELEASE FOR CTEV 13000 16300 18700 20600 23700 26100

89 TALECTOMY (FOOT & ANKLE) 12000 15000 17300 19000 21900 25200

TENDEN TRANS FOR FT DROP (FOOT &

90 20000 25000 28800 31700 36500 42000
ANKLE)
F&A TENSN BAND WIRING SCREW FIX.
91 15000 18800 21600 23800 27400 31500
SINGLE BON
TRIMALLEOLAR FRACTURE ORIF (FOOT &
92 23000 28800 33100 36400 41900 46100
ANKLE)

93 TRIPLE FUSION (FOOT & ANKLE) 20000 25000 28800 31700 36500 42000

UNIMALLIOLAS FRACTURE-ANKLE (FOOT &

94 13000 16300 18700 20600 23700 26100
ANKLE)

95 EXOSTOICS EXCISION (THIGH) 15000 18800 21600 23800 27400 31500

FEMORAL HEAD FEMUR DECOMP. FOR AVN

96 18000 22500 25900 28500 32800 36100
(THIGH)
CONGENITAL DISLOCATION HIP OPEN
97 15000 18800 21600 23800 27400 31500
REDUCTION
 SRMS IMS BAREILLY
RATE LIST OF ORTHOPAEDICS (w.e.f. 19.05.2023)

Gen. W Semi Executive Super

S.N. Particular Private Deluxe
/OP Free Pvt. Deluxe Deluxe

1 A/E SLAB CHILD 1000 1300 1500 1700 1900 2100

98 ADDUCTOR TENOTOMY (HIP) 9000 11300 13000 14300 16400 18900

99 BELOW KNEE AMPULATION (LEG) 12000 15000 17300 19000 21900 25200

100 COMPARTMENTAL RELEASE (LEG) 12000 15000 17300 19000 21900 25200

INTRA MEDULLARY NAILING ("K" / "V"

101 13000 16300 18700 20600 23700 26100
NAIL)(LEG)

102 HAMESTRING RELEASE (KNEE) 9000 11300 13000 14300 16400 18900

103 LATERAL RELEASE OF PATTELLAS (KNEE) 12000 15000 17300 19000 21900 24100

104 STAPLING (KNEE) 12000 15000 17300 19000 21900 24100

EXTERNAL FIXATION OPEN FRAC SHL &

105 13000 16300 18700 20600 23700 27300
ARM(HUMEREUS)

106 SINGLE BONE FRACTURE-ORIF (FOREARM) 15000 18800 21600 23800 27400 31500

107 ELBOW ARTHODESIS 18000 22500 25900 28500 32800 37700

108 CONDYLAR FRACTURE FIXATION (ELBOW) 18000 22500 25900 28500 32800 36100

109 EXCISION ARTHOPLASTY (ELBOW) 15000 18800 21600 23800 27400 31500

110 ELBOW EXCISION HEAD OF RADIUS 12000 15000 17300 19000 21900 25200

111 FRENCH OSTEOTOMY (ELBOW) 15000 18800 21600 23800 27400 31500

INTRAMEDULLARY NAILING (FORE ARM)

112 14000 17500 20100 22100 25400 27900
SINGLE
INTRAMEDULLARY NAILING (FORE ARM)
113 20000 25000 28800 31700 36500 40200
BOTH

114 LATERAL CONDYLEFIXATION (ELBOW) 12000 15000 17300 19000 21900 24100

MONTEGGIA FRACT. ORIF / GAL WITH BONE

115 15000 18800 21600 23800 27400 31500
GRAFT

116 SINGLE BONE FARCTURE -ORIF (FOREARM) 15000 18800 21600 23800 27400 31500

SUPRACONDYLAR FRACTURE FIXATION

117 15000 18800 21600 23800 27400 30100
(ELBOW CHILD)
SUPRACONDYLAR FRACTURE FIXATION
118 18000 22500 25900 28500 32800 36100
(ELBOW ADULT)

119 TENSION BAND WIRING OLECRANION # 15000 18800 21600 23800 27400 31500

120 WRIST ARTHODESIS 18000 22500 25900 28500 32800 37700

121 BARTONS FRACTURE ORIF (WRIST) 18000 22500 25900 28500 32800 36100
 SRMS IMS BAREILLY
RATE LIST OF ORTHOPAEDICS (w.e.f. 19.05.2023)

Gen. W Semi Executive Super

S.N. Particular Private Deluxe
/OP Free Pvt. Deluxe Deluxe

1 A/E SLAB CHILD 1000 1300 1500 1700 1900 2100

122 BENNET'S FRACTURE FIXATION (WRIST) 13000 16300 18700 20600 23700 26100

123 ORIF SCAPHOID FRACTURE (WRIST) 15000 18800 21600 23800 27400 31500

124 PROXIMAL ROW CARPECTOMY (WRIST) 16000 20000 23000 25300 29100 33500

125 AMPUTATIONS MAJOR (MISC.) 15000 18800 21600 23800 27400 30100

126 BONE BLOCK SURGERY (MISC.) 11000 13800 15900 17500 20100 23100

CORRECTIVE OSTEOTOMY WITH FIXATION

127 15000 18800 21600 23800 27400 31500
(MISC.)

128 ARTHODESIS (FOOT & ANKLE) 20000 25000 28800 31700 36500 42000

BIMALLEOLAR FRACTURE ORIF (FOOT &

129 18000 22500 25900 28500 32800 36100
ANKLE)
NON UNION MEDIAL MALEOLUS FRACTURE
130 18000 22500 25900 28500 32800 37700
(FOOT & ANKLE)

131 ORIF TALUS FRACTURE (FOOT & ANKLE) 15000 18800 21600 23800 27400 31500

132 REPAIR OF TA RUPTURE (FOOT & ANKLE) 15000 18800 21600 23800 27400 31500

SUBTALAR FUSION (GRICE GREEN) (FOOT &

133 15000 18800 21600 23800 27400 31500
ANKLE)

134 SYMES AMPUTATION (FOOT & ANKLE) 15000 18800 21600 23800 27400 31500

TENDOARCHILLES LENGTHENING (FOOT &

135 12000 15000 17300 19000 21900 25200
ANKLE)
TOTAL JOINT REPLACEMENT (FOOT &
136 30000 37500 43100 47400 54500 62700
ANKLE)

137 ABOVE KNEE AMPUTATION (THIGH) 18000 22500 25900 28500 32800 36100

INTRA MEDULLARY NAILING "K" NAIL

138 15000 18800 21600 23800 27400 30100
(THIGH)
EXTERNAL FIXATION FOR FEMUR
139 15000 18800 21600 23800 27400 31500
FRACTURES (THIGH)
ADDUCTOR TENOTOMY & OBTURATOR
140 11000 13800 15900 17500 20100 23100
NEURECTOMY (HIP)

141 ARTHRODESIS (HIP) 18000 22500 25900 28500 32800 37700

142 FIXATION NECK FEMUR CCS 16000 20000 23000 25300 29100 32000

143 DYNAMIC HIP FIXATION - RICHARDS (HIP) 18000 22500 25900 28500 32800 37700

EXCISION ARTHROPLASTY (GRINDLE

144 18000 22500 25900 28500 32800 37700
STONE) (HIP)
HEMI ARTHROPLASTY W/O BONE CEMENT-
145 18000 22500 25900 28500 32800 36100
AUSTIN MORRE(HIP
 SRMS IMS BAREILLY
RATE LIST OF ORTHOPAEDICS (w.e.f. 19.05.2023)

Gen. W Semi Executive Super

S.N. Particular Private Deluxe
/OP Free Pvt. Deluxe Deluxe

1 A/E SLAB CHILD 1000 1300 1500 1700 1900 2100

146 HIND QUARTER AMPUTATION (HIP) 25000 31300 36000 39600 45500 52300

147 OSTEOTOMIES AROUND THE HIP 18000 22500 25900 28500 32800 36100

148 PERTHES DISEASE (HIP) 15000 18800 21600 23800 27400 31500

SLIPPED FEMORAL EPIPHYSIS OPERATION

149 15000 18800 21600 23800 27400 31500
(HIP)

150 PELVIS SACROILIAC FUSION (HIP) 18000 22500 25900 28500 32800 36100

151 ILLIPOSOAS RECESSION (HIP) 15000 18800 21600 23800 27400 31500

SOUT & YOUNT OPERATION FOR POLIO

152 10000 12500 14400 15800 18200 20900
(HIP)

153 LEG CLO NAILING FOR TIBIAL 18000 22500 25900 28500 32800 37700

COMPRESSION PLATING OF TIBIA

154 18000 22500 25900 29800 34300 39400
(DCP\MULLER) (LEG)
CONGENITAL PSEUDAORTHROSIS TIBIA
155 22000 27500 31600 34800 40000 44000
(LEG)
EXTERNAL FIXATION FOR TIBIAL
156 15000 18800 21600 23800 27400 31500
FRACTURE (THIGH)

157 LEG INTER LOCKING NAILING (LEG) 18000 22500 25900 28500 32800 37700

ORIF FOR TIBIAL CONDYLAR FRACTURE

158 18000 22500 25900 28500 32800 37700
(LEG) SINGLE PLATE
ORIF FOR TIBIAL CONDYLAR FRACTURE
159 23000 28800 33100 36400 41900 46100
(LEG) DOUBLE PLATE

160 LEG POSTIRO LATERAL GRAFTING 12000 15000 17300 19000 21900 25200

161 CONDYLAR PLATE FIXATION (KNEE) 20000 25000 28800 31700 36500 42000

FEMURAL CONDYLAR FRA ORIF(KNEE)

162 18000 22500 25900 28500 32800 36100
SINGLE PLATE
FEMURAL CONDYLAR FRA ORIF(KNEE)
163 23000 28800 33100 36400 41900 46100
DOUBLE PLATE

164 HIGH TIBIAL OSTEOTOMY (KNEE) 18000 22500 25900 28500 32800 37700

165 PATELLAR TBW (KNEE) 16000 20000 23000 25300 29100 32000

166 PATELLECTOMY OF FIXATION (KNEE) 15000 18800 21600 23800 27400 31500

167 QUADRICEPS PLASY (KNEE) 20000 25000 28800 31700 36500 42000

SYNOVECTOMY & JOINT DEBRIDEMENT

168 15000 18800 21600 23800 27400 30100
(KNEE) OPEN
COMPRESSION PLATING OF HUMEROUS
169 18000 22500 25900 28500 32800 37700
(SH. & ARMS )
 SRMS IMS BAREILLY
RATE LIST OF ORTHOPAEDICS (w.e.f. 19.05.2023)

Gen. W Semi Executive Super

S.N. Particular Private Deluxe
/OP Free Pvt. Deluxe Deluxe

1 A/E SLAB CHILD 1000 1300 1500 1700 1900 2100

NON UNION FRACTURE OF HUMEROUS (SH.

170 24000 30000 34500 38000 43700 48100
& ARMS )
PROXIMAL HUMEROUS FARACTURE ORIF
171 20000 25000 28800 31700 36500 42000
(SH. & ARMS )

172 BOTH BONES FRACTURE-ORIF(FOREARM) 20000 25000 28800 31700 36500 42000

EXTERNAL FIXATION FOR OPEN FRACTURES

173 15000 18800 21600 23800 27400 31500
(ELBOW)
FRACTURE-BOTH BONES ORIF WITH BONE
174 24000 30000 34500 38000 43700 48100
GRAFTING (ELBOW
INTRAMEDULLARY NAILING (BOTH
175 20000 25000 28800 31700 36500 42000
BONE)(ELBOW)
NON UNION FOREARM FRACTURE + BONE
176 25000 31300 36000 39600 45500 52300
GRAFTING (ELBOW)

177 NON UNION SCAPHOID 16000 20000 23000 25300 29100 33500

CONG. VERTICAL TALUS SURG.

178 12000 15000 17300 19000 21900 25200
CORRECTION (MISC.)

179 CORE DECOMPRESSION HEAD OF FUMER 16000 20000 23000 25300 29100 33500

180 TENDON REPAIR-MAJOR (MISC.) 10000 12500 15000 16500 19000 21900

181 TENDON TRANSFER MAJOR (MISC.) 15000 18800 21600 23800 27400 31500

182 PANTALAR ARTHRODESIS (FOOT & ANKLE) 25000 31300 36000 39600 45500 52300

COMPRESSION PLATING OF FEMUR

183 18000 22500 25900 28500 32800 37700
(DCP/MULLER) (THIGH)

184 NON UNION FEMUR (THIGH) 30000 37500 43100 47400 54500 62700

185 NON UNION FEMUR USING IIYZAROV (LEG) 25000 31300 36000 39600 45500 52300

186 INT. LOCKING NAILING FEMO (THIGH) 18000 22500 25900 28500 32800 37700

187 IIIZA FIX FOR OOP. FEM. FR. (THIGH) 20000 25000 28800 31700 36500 40200

HEMI ARTHROPLASTY WITH BONE CEMENT-

188 20000 25000 28800 31700 36500 40200
THOMPSON (HIP)
OPEN REDUCTION FOR DISLOCATION OF
189 12000 15000 17300 19000 21900 24100
HIP (HIP)
OPEN REDUCTION AND INT FIX OF
190 20000 25000 28800 31700 36500 40200
ACETABULUM (HIP ANTERIOR)
OPEN REDUCTION AND INT FIX OF
191 18000 22500 25900 28500 32800 36100
ACETABULUM (HIP POSTERIOR)

192 LEG NON UNION TIBIA 24000 30000 34500 38000 43700 48100

LEG NON UNION TIBIA FRACTURE USING

193 25000 31300 36000 39600 45500 50100
ILIZAROV
 SRMS IMS BAREILLY
RATE LIST OF ORTHOPAEDICS (w.e.f. 19.05.2023)

Gen. W Semi Executive Super

S.N. Particular Private Deluxe
/OP Free Pvt. Deluxe Deluxe

1 A/E SLAB CHILD 1000 1300 1500 1700 1900 2100

ACL RECONSTRUCTION (KNEE)

194 30000 37500 43100 47400 54500 60000
ARTHOSCOPIC

195 KNEE ARTHOSCOPIC MENISECTOMY 18000 22500 25900 28500 32800 37700

196 ARTHRODESIS (KNEE) 20000 25000 28800 31700 36500 42000

RECURRENT DISLOCATION OF PATELLA

197 25000 31300 36000 39600 45500 50100
(KNEE)

198 ANTEROLATERAL DECOMPRESSION (SPINE) 30000 37500 43100 47400 54500 60000

DECOM & FUSION FOR

199 30000 37500 43100 47400 54500 60000
SPONDYLOLISTHESIS (SPINE)

200 SPINE LAMINECTOMY (SINGLE LEVEL) 20000 25000 28800 31700 36500 42000

201 LAMINECTOMY & DISECTOMY (SPINE) 28000 35000 40300 44300 50900 56000

LLIZAROV FIX FOR NON UNION HUMEROUS

202 25000 31300 36000 39600 45500 50100
FR

203 INTRAMEDULLARY NAILING HUMERUS 18000 22500 25900 28500 32800 37700

204 CURETTAGE OF TUMER & BONE GRAFTING 25000 31300 36000 39600 45500 52300

ARTHRODESIS OF KNEE USING LLIZAROV

205 20000 25000 28800 31700 36500 42000
(KNEE)

206 ANTERIOR SPINAL FUSION 22000 27500 31600 34800 40000 46000

CORRECTION SPINAL OSTEOTOMY &

207 30000 37500 43100 47400 54500 62700
FUSION (SPINE)

208 COSTO TRANSVERSECTOMY (SPINE) 18000 22500 25900 28500 32800 37700

INSTRUMENTATION SPINAL FUSION FOR

209 30000 37500 43100 47400 54500 62700
SCOLIOSIS

210 POSTERIOR SPINAL FUSION (SPINE) 20000 25000 28800 31700 36500 42000

SPINAL FRACTURE REDUCTION WITH

211 22000 27500 31600 34800 40000 46000
FIXATION (SPINE)

212 FOREQUATER AMPUTATION (SH. & ARMS ) 25000 31300 36000 39600 45500 52300

213 ELBOW TOTAL JOINT REPALCEMENT 30000 37500 43100 47400 54500 62700

214 LAG SCREW FIXATION 6000 7500 8600 9500 10900 12500

215 SINUS EXCISION 7000 8800 10100 11100 12800 14700

216 REVISION OF STUMP 12000 15000 17300 19000 21900 25200

217 ARTHROSCOPY MINOR DEBRIDEMENT 10000 12500 14400 15800 18200 20900
 SRMS IMS BAREILLY
RATE LIST OF ORTHOPAEDICS (w.e.f. 19.05.2023)

Gen. W Semi Executive Super

S.N. Particular Private Deluxe
/OP Free Pvt. Deluxe Deluxe

1 A/E SLAB CHILD 1000 1300 1500 1700 1900 2100

218 D.H.S 18000 22500 25900 28500 32800 37700

219 OESTEOTOMY 22000 27500 31600 34800 40000 44000

PROC. CHG. FOR TOTAL KNEE

220 30000 37500 43100 47400 54500 60000
REPLACEMENT

221 INTERLOCKINF OF TIBIA 18000 22500 25900 28500 32800 37700

222 CLOSE REDUCTION 5000 6300 7200 7900 9100 10500

223 SURGERY FOR CHRONIC OESTEOMALTIES 18000 22500 25900 28500 32800 36100

224 SCREW FIXITIOIN 5000 6300 7200 7900 9100 10500

225 TENSION BAND WIRING 15000 18800 21600 23800 27400 31500

226 ARTHROSCOPY MAJOR DEBRIDEMENT 18800 23500 27000 29700 34200 39300

227 ARTHROSCOPY MENISECTOMY 18000 22500 25900 28500 32800 37700

228 RECONSTRUCTIVE PCL BY ARTHROSCOPY 35000 43800 50400 55400 63700 70100

229 MINOR SUTURING UNDER L.A. 1000 1300 1500 1700 2000 2200

230 PHEMISTER GRAFTING (THIGH) 12000 15000 17300 19000 21900 25200

231 SCOLISIS CORRECTION (F& A) 30000 37500 43100 47400 54500 60000

232 ARTHRODESIS (WRIST) 18000 22500 25900 28500 32800 37700

233 BONE GRAFT (MISC.) 10000 12500 14400 15800 18200 20900

234 WOUND DEBRIDEMENT MINOR 5000 6300 7200 7900 9100 10000

235 WOUND DEBRIDEMENT MAJOR 10000 12500 14400 15800 18200 20000

236 SKIN GRAFTING SMALL 6000 7500 8600 9500 10900 12500

237 SKIN GRAFTING LARGE 10000 12500 14400 15800 18200 20900

238 SKIN GRAFTING EXTENSIVE AREA 15000 18800 21600 23800 27400 31500

239 IMPPLANT REMOVAL MINOR 6000 7500 8600 9500 10900 12000

240 IMPLANT REMOVAL MAJOR 12000 15000 17300 19000 21900 24100

ARTHROSCOPIC SUBACROMIAL
241 18000 22500 25900 28500 32800 37700
DECOMPRESSION
 SRMS IMS BAREILLY
RATE LIST OF ORTHOPAEDICS (w.e.f. 19.05.2023)

Gen. W Semi Executive Super

S.N. Particular Private Deluxe
/OP Free Pvt. Deluxe Deluxe

1 A/E SLAB CHILD 1000 1300 1500 1700 1900 2100

242 ARTHROSCOPIC BANKET REPAIR 35000 43800 50400 55400 63700 70100

243 THERAPEVTIC ANKLE ARTHOSCOPY 18000 22500 25900 28500 32800 37700

244 ACL AVULSION FIXATION ARTHROSCOPIC 22000 27500 31600 34800 40000 44000

245 PCL AVULSION FIXATION (OPEN) 18000 22500 25900 28500 32800 36100

246 LATERJET SURGERY 22000 27500 31600 34800 40000 44000

 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF E.N.T. & AUDIOMETRY LAB. PROCEDURES (w.e.f.- 27.04.2023)

OPD/ SEMI. EXECUTIVE SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE

AUDIOMETRY PROCEDURES

OTO ACOUSTIC EMISSIONS HEARING SCREENING

1 250.00 260.00 275.00 300.00 300.00 300.00
(OAE)

2 PURE TONE AUDIOMETER 250.00 260.00 275.00 300.00 300.00 300.00

3 IMPEDANCE AUDIOMETRY 265.00 275.00 285.00 300.00 300.00 300.00

4 FREE FIELD AUDIOMETRY 200.00 210.00 220.00 250.00 250.00 250.00

5 HEARING AID TRIAL 160.00 170.00 200.00 250.00 250.00 250.00

6 SPEECH TESTS 150.00 160.00 200.00 250.00 250.00 250.00

7 SPEECH/VOICE/LANGUAGE ASSESSMENT 150.00 160.00 200.00 250.00 250.00 250.00

SPEECH / VOICE/ LANGUAGE THERAPY (5 VISIT

8 800.00 810.00 825.00 850.00 850.00 850.00
PACKAGE)

9 SPEECH THERAPY PROGRAME 265.00 275.00 300.00 350.00 350.00 350.00

SPEECH / VOICE/ LANGUAGE THERAPY (SINGLE

10 175.00 185.00 200.00 250.00 250.00 250.00
VISIT)
BERA (BRAINSTEM EVOKED RESPONSE AUDIOMETRY
11 1200.00 1225.00 1250.00 1500.00 1500.00 1500.00
)

E.N.T. PROCEDURES

12 ANTRAL LAVAGE 550.00 690.00 860.00 1080.00 1350.00 1690.00

13 CALD WELL LAC'S 4200.00 5300.00 6600.00 8250.00 9500.00 10900.00

14 CANCER SURGERIES (DEPENDING UPON SITE STAGE) 8000.00 9750.00 11700.00 13500.00 18000.00 21600.00

15 CHEMICAL CAUTERY EAR 500.00 630.00 790.00 1000.00 1250.00 1560.00

16 D / L EXAMINATION / BIOSPY GA 4000.00 5000.00 6300.00 7880.00 9100.00 10000.00

17 D / L EXAMINATION /BIOPSY LA 1500.00 1900.00 2400.00 3000.00 3500.00 4000.00

DRAINAGE OF RETROPHARYNGEAL / PERITONILLAR

18 1500.00 2200.00 2800.00 3500.00 4000.00 5000.00
ABSCES

19 EAR LOBULE REPAIR (BOTH SIDE) 2000.00 2500.00 3100.00 3880.00 4500.00 5000.00

20 ENDOSCOPIC ANGIOFIBROMA EXCISION 15000.00 17250.00 19840.00 21820.00 24000.00 26400.00

21 ENDOSCOPIC DCR 8000.00 10000.00 12500.00 15630.00 18000.00 20700.00

22 ENT ENDOSCOPY FOL 850.00 900.00 1000.00 1100.00 1200.00 1500.00

23 ENT ENDOSCOPY NBI 1500.00 1600.00 1700.00 1800.00 1900.00 2000.00

24 ENT ENDOSCOPY VLS 1500.00 1600.00 1700.00 1800.00 1900.00 2000.00

25 EXAMINATION OF EAR UNDER MICROSCOPE 250.00 310.00 390.00 490.00 650.00 810.00

26 EXCISION OF LARGE HEAD SWELLING 10000.00 12500.00 15600.00 19500.00 22400.00 25000.00

27 EXCISION OF SMALL HEAD SWELLING 5000.00 6300.00 7900.00 9880.00 11400.00 13100.00

28 FAT GRAFTING OF SMALL EAR PERFORATION 2500.00 3100.00 3900.00 4880.00 5600.00 10000.00

29 FESS (FUNCTIONAL ENDOSCOPIC SINUS SUGERY) 10000.00 11500.00 13230.00 15200.00 17480.00 20100.00

30 FOREIGN BODY REMOVAL BRONCHOSCOPY 10000.00 11500.00 13230.00 14600.00 16100.00 17700.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF E.N.T. & AUDIOMETRY LAB. PROCEDURES (w.e.f.- 27.04.2023)

OPD/ SEMI. EXECUTIVE SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE

31 FOREIGN BODY REMOVAL ESOPHAGOSCOPY 6000.00 6900.00 7940.00 8700.00 9600.00 10600.00

32 INCISION AND DRAINAGE OF SMALL ABSCESSES 1000.00 1250.00 1560.00 1950.00 2240.00 2580.00

33 MASTOID SURGERY 10000.00 11500.00 13230.00 15200.00 17480.00 20100.00

34 MICROLARYNGEAL SURGERY (MLS) 10000.00 11500.00 13230.00 15200.00 17480.00 20100.00

35 MYRINGOPLASTY / TYMPANOPLASTY 8000.00 9200.00 10580.00 12200.00 14030.00 16130.00

36 OTOENDOSCOPY 500.00 600.00 700.00 800.00 900.00 1000.00

37 PAROTIDECTOMY SUPERFICIAL 12000.00 13800.00 15870.00 17460.00 19200.00 21100.00

38 PAROTIDECTOMY TOTAL 15000.00 17250.00 19840.00 21820.00 24000.00 26400.00

39 RHINOPLASTY 12000.00 13800.00 15180.00 16700.00 18370.00 20210.00

40 SEPTOPLASTY 8000.00 9200.00 10580.00 11640.00 12800.00 14080.00

41 SMALL BIOPSIES (PUNCH/EXCISION) 525.00 660.00 830.00 1050.00 1400.00 1610.00

42 STAPEDOTOMY 10000.00 11500.00 13230.00 14550.00 16010.00 17610.00

43 SUBMANDIBULAR GLAND SURGERY 10000.00 11500.00 13230.00 14550.00 16010.00 17610.00

44 THYROID SURGERY- HEMI 12000.00 13800.00 15870.00 17460.00 19210.00 21100.00

 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF E.N.T. & AUDIOMETRY LAB. PROCEDURES (w.e.f.- 27.04.2023)

OPD/ SEMI. EXECUTIVE SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE

45 THYROID SURGERY- LOBECTOMY 12000.00 13800.00 15870.00 17460.00 19210.00 21100.00

46 THYROID SURGERY- SUB TOTAL 12000.00 13800.00 15870.00 17460.00 19210.00 21100.00

47 THYROID SURGERY- TOTAL THYROIDECTOMY 15000.00 17250.00 19840.00 21820.00 24000.00 26400.00

48 TONGUE TIE EXCISION 525.00 660.00 830.00 1050.00 1400.00 1610.00

49 TONSILECTOMY /ADENOIDECTOMY 8000.00 9200.00 10580.00 11640.00 12800.00 14080.00

50 TRACHEOSTOMY 6000.00 7500.00 9400.00 11750.00 13500.00 15000.00

51 HEAD & NECK CANCER SURGERY - LOW GRADE 8000.00 9200.00 10600.00 11700.00 12900.00 14200.00

52 HEAD & NECK CANCER SURGERY - MEDIUM GRADE 15000.00 17250.00 19800.00 21800.00 24000.00 26400.00

53 HEAD & NECK CANCER SURGERY - HIGH GRADE 20000.00 23000.00 26500.00 29200.00 32100.00 35300.00

54 FACIOMAXILLARY TRAUMA- LOW GRADE 8000.00 9200.00 10600.00 11700.00 12900.00 14200.00

55 FACIOMAXILLARY TRAUMA- MEDIUM GRADE 10000.00 11500.00 13200.00 14500.00 16000.00 17600.00

56 FACIOMAXILLARY TRAUMA- HIGH GRADE 15000.00 17300.00 19900.00 21900.00 24100.00 26500.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF PLASTIC SURGERY
0 15% 15% 15% 10% 10%
w.e.f.- 01.03.2023
OPD/ SEMI. EXECUTIVE SUPER
S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE
1 ABDOMINAL FLAP : 3RD STAGE(Gr.I) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
2 ABDOMINAL FLAP 2ND STAGE(Gr.II) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
3 ALAE CORRECTION (Gr.III) 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
4 AMPUTATION (EACH FINGER ) -S.S.G(Gr.III) 8000.00 9200.00 10580.00 12170.00 13390.00 14730.00
5 AMPUTATION (EACH FINGER)- FLAPCOVER (V-Y)(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
6 AMPUTATION (EACHFINGER )-FLAPCOVER (CFF)(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
7 AMPUTATION(EACH FINGER)-REVISION(Gr.II) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
8 AMPUTATION(EACH FINGER)-SUTURING(Gr.II) 8000.00 9200.00 10580.00 12170.00 13390.00 14730.00
9 ARTHRODESIS(EACH FINGER JOINT)(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
10 AV FISTULIA CREATION BRADIUS CEPTURE 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
11 AV FISTULIA CREATION RADIO CEPTURE 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
12 AV FISTULIA VEIN CRAFT 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
13 BAT EAR CORRECTIUON(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
14 BREAST AUFRENLATUM 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
15 BREAST REDUCTEM 60000.00 69000.00 79350.00 91250.00 100380.00 110420.00
16 CAP SPLINTING(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
17 CAPSULOTOMY (EACH)(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
18 CARPAL BONE STABILISATION -MINOR(Gr.III) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
19 CLAFT PALATE 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
20 CLEFT LIP REPAIR UNILATERAL - INNCOMPLETE(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
21 CLOSURE OF URETHRAL FISTULA(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
22 COLUMELLA LENGTHENING(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
23 COMPOSITE GRAFTING(Gr.III) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
24 CONG.FLEXION DEFORMITY-MINOR(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
25 CONG.SINUSES/FIST/CYSTS/EXEC.RECON-MINOR(Gr.II) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
26 CONGENITAL CLEFT FACE-RECONS-MINOR(Gr.III) 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
27 CONTRACTURE RELEASE LARGE AREA FLAPCOVER 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
28 CONTRACTURE RELEASE&SKIN GRAFTING(EACH)(Gr.II) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
29 CONTRACTYURES RELEASA & GRAFTING SMALL AREA(Gr.II) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
30 CORRECTION MALLET FINGER - SURGICAL(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
31 CROSS - FINGER FLAP /OTHERFLAP (GrIII) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
32 CURETTAGE & SAUCERISATION(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
33 D&S BADLY MUTILATED HAND -EACH STAGE(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
34 DE QUERVAINS DISEASE DECOMPRESSION(Gr.II) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
35 DEBRIDEMENT CRAFTING 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
36 DIVISION OF SKIN FLAP(Gr.II) 8000.00 9200.00 10580.00 12170.00 13390.00 14730.00
37 DRESSING SERVICE CHARGES (SMALL)(Gr. 0) 1000.00 1150.00 1320.00 1520.00 1670.00 1840.00
38 DRESSING SERVICE CHARGES(MEDIUM) (Gr.II) 5000.00 5750.00 6610.00 7600.00 8360.00 9200.00
39 EAR INJURY -MODERATE SUTURING(Gr.III) 8000.00 9200.00 10580.00 12170.00 13390.00 14730.00
40 EAR INJURY-MINOR SUTURING(Gr.II) 6000.00 6900.00 7940.00 9130.00 10040.00 11040.00
41 EAR KELOID EXCIXION/RECONSTRUCTION-MINOR(Gr.II) 8000.00 9200.00 10580.00 12170.00 13390.00 14730.00
42 ESCHARECTOMY-ADULT 20% BURNS(Gr. 0) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
43 ESCHARECTOMY-ADULT 30% BURNS(Gr. 0) 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
44 ESCHARECTOMY-ADULT 40% BURNS(Gr. I) 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
45 ESCHARECTOMY-ADULT 50% BURNS(Gr. I) 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
46 ESCHARECTOMY-ADULT 55% & ABOVE(Gr.II) 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
47 ESCHARECTOMY-CHILDREN 10% BURNS(Gr. 0) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
48 ESCHARECTOMY-CHILDREN 15% BURNS(Gr. 0) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
49 ESCHARECTOMY-CHILDREN 20% & ABOVE(Gr. I) 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
50 EXCISION BENIGN GROWTH/RECONS. SMALL AREA(Gr.II) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF PLASTIC SURGERY
0 15% 15% 15% 10% 10%
w.e.f.- 01.03.2023
51 EXCISION BENIGN GROWTH/RECONS-LARGE AREA(Gr.III) 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
52 EXCISION OF TUMOR AND CLOSURE(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
53 EXCISION TUMOURS & RECONS. FACE-SMALL 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
54 EXCISION/CAUTERIZATION OF BENGN GROWTHS LARG(Gr.II 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
55 EXCISION/CAUTERIZATION OF BENIGN GROWTH-EXT(Gr.III 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
56 EXCISION/CAUTERIZATION OF BENIGN GROWTHS-SMAL Gr.I 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
57 EXTENSIVE WOUND HOMOGRAFTING(DONOR)(Gr.III) 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
58 EXTERNAL AUDITORY CANAL RECONNSTRUCTION(Gr.III) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
59 EXTERNAL FIXATION FINGERS (EACH)(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
60 EYE LID TUMOR 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
61 FLAP DIVISION 8000.00 9200.00 10580.00 12170.00 13390.00 14730.00
62 FREE ALT TRANSFER 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
63 FREE FISURE TRANSFER 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
64 FREE LD TRANSFER 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
65 FULL THICKNESS SKIN GRAFT-MINOR(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
66 GANGOLIAN EXCISION(Gr.II) 8000.00 9200.00 10580.00 12170.00 13390.00 14730.00
67 GR IV ABDOMINAL FLAP: IST STAGE 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
68 GR IV ALAE CORRECTION - MAJOR 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
69 GR IV AMPUTATION (EACH FINGER)-FLAPCOVER(DIST.) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
70 GR IV ASUTURE OF MULITPLE LACERATED WOUNDS 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
71 GR IV BLEPHAROPLASTY 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
72 GR IV CANTHOPLASTY 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
73 GR IV CARPAL TUNNEL SYNDROME 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
74 GR IV CLEFT LIP REPAIR BILATERAL-COMPLETE 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
75 GR IV CLEFT LIP REPAIR BILATERAL-INCOMPLETE 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
76 GR IV CLINODACTYLY CORRECTION 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
77 GR IV CONG.SINUSES/FIST/CYSTS/EXC.RECONSTRUCTION 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
78 GR IV CONTRACTURES RELEASE & GRAFTING LARGE AREA 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
79 GR IV CONTRACURE RELEASE LARGE AREA FLAP OVER LARG 28000.00 32200.00 37030.00 42580.00 46840.00 51520.00
80 GR IV CORRECTIVE OSTEOTIMIE EACH FINGER 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
81 GR IV CORRECTIVE SEPTO RHINOPLASTY 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
82 GR IV CORRECTIVE SEPTOPLASTY 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
83 GR IV D & S FINGER INJURIES WITH FRACTURE(EACH) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
84 GR IV DEEPEING CONTRACTED SOCKET 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
85 GR IV DERMABRASION-MINOR 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
86 GR IV DRESSING SERVICE CHARGES(LARGE) 8500.00 9780.00 11250.00 12940.00 14230.00 15650.00
87 GR IV DUPUYTREN`S CONTRACTURE-MINOR 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
88 GR IV EAR INJURY - MAJOR SUTURING 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
89 GR IV EAR KELOID EXCISION/RECONS. - MAJOR 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
90 GR IV ECTROPION RELEASE & SKIN GRAFTING(BOTH EYE ) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
91 GR IV EXCISION BENIGN GROWTH/RECONS. EXTENSIVE 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
92 GR IV EXCISION OF SKIN TUMOURS & RECONS SMALL 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
93 GR IV EXTERNAL FIXATION FOR MAJOR LIMBS 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
94 GR IV FIXATION OF FRACTURE WITH SINGLE PLATE(EACH) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
95 GR IV LOAL FLAPS FACE COMPLEX 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
96 GR IV LOAL FLAPS FACE LARGE 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
97 GR IV LOBULE RECONSTRUCTION 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
98 GR IV MINOR BREST SURGERY 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
99 GR IV NERVE REPAIR 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
100 GR IV ON BOUTENIERE DEFORMITY 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
101 GR IV ON SWAN NECK DEFORMITY 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
102 GR IV ONTRIGGER FINGER 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF PLASTIC SURGERY
0 15% 15% 15% 10% 10%
w.e.f.- 01.03.2023
103 GR IV POLYDACTYLY EXCISION MAJOR 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
104 GR IV PROTRUDING EAR CORRECTION 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
105 GR IV PULLY FORMATION (EACH) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
106 GR IV RECON. POST BURNS MODERATE DEFORMITY OF HAND 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
107 GR IV RECONSTRUCTION OF EACH EYE LID-MODERATE DEF. 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
108 GR IV RECONSTRUCTION OF EYE BROW (EACH) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
109 GR IV RECONSTRUCTION OF LIP-BY LOCAL FLAP 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
110 GR IV RECONSTRUCTION OF NIPPLE EACH 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
111 GR IV RECONSTRUCTION OF PENIS(EACH STAGE) 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
112 GR IV REDUCTION OF FRACTURE OF-ZYGOMA(GILLIES) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
113 GR IV REVISION & SKIN GRAFTING LARGE AREA 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
114 GR IV REVISION OF SCARS LARGE AREA 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
115 GR IV REVISION SCAR WITH FLAP COVER LARGE AREA 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
116 GR IV SECONDARY CORRECTION OF CLEFT LIP/NOSE-MINOR 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
117 GR IV SECONDARY CORRECTION OF CLEFT LIP-MINOR 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
118 GR IV SERIAL EXCISION SCAR/NAEVUS(EACH STAGE) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
119 GR IV SKIN FLAP FOR BED STORE (EACH) 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
120 GR IV SKIN GRAFTING LARGE AREA 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
121 GR IV TENDON GRAFTING (EACH) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
122 GR IV THUMB RECON BY LOCAL FLAP & BONE GRAFT 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
123 GR IV TRANS OF SKIN AS TUBE OF PEDICLES IST STAGE 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
124 GR V AUGMEN RHINO W BONE/CARTILAGE GRAFT MINOR 35000.00 40250.00 46290.00 53230.00 58550.00 64410.00
125 GR V AUGMEN RHINO W BONE/CARTILAGE GRAFT MODERATE 35000.00 40250.00 46290.00 53230.00 58550.00 64410.00
126 GR V BED SORE (MYOCUTAN EOUS FLAP ) 28000.00 32200.00 37030.00 42580.00 46840.00 51520.00
127 GR V BONE GRAFTING FOR JAW 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
128 GR V CAMPODACTYLY CORRECTION 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
129 GR V CANCER SKIN /FACE-RESECTION (EXTENSIVE GRAFTI 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
130 GR V CLEFT LIP REPAIR BILATERAL COMPLETE 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
131 GR V CLEFT PALATE COMPLETE REPAIR 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
132 GR V CLEFT PALATE INCOMPLETE REPAIR 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
133 GR V CLOSURE OF PALATAL FISTULA 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
134 GR V CONG.FLEXION DEFORMITY-MAJOR 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
135 GR V CONTRACTURE OF NECK RELEASE & S.S.G 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
136 GR V CORRECTION LYMPHOEDEMA-MINOR 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
137 GR V EXCISION & RECONSTRUCTION-LARGE TUMOUR FACE 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
138 GR V EXCISION OF EXTENSIVE LESSION SKIN 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
139 GR V EXCISION OF SKIN TOMOURS & RECONSTRUCTION-LAR 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
140 GR V EXCISION TUMOURS & RECONSTRUCTION FACE -LARGE 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
141 GR V FACIAL NERVE REPAIR(MICRO) 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
142 GR V FRACTURE MANDIBLE SINGLE PLATE 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
143 GR V FULL THICKNESS SKIN GRAFT-MAJOR 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
144 GR V INTEROSSEOUS WIRING/ARCH BARS 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
145 GR V MICRO VASCULAR NERVE REPAIR-EACH 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
146 GR V MYOCUTNEOUS/MUSCLE FLAP 28000.00 32200.00 37030.00 42580.00 46840.00 51520.00
147 GR V NEURO SENSORY FLAP 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
148 GR V OPEN REDUCTION OF FRACTURE ZYGOMA 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
149 GR V OPPONENS PLASTY 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
150 GR V PAROTID DUCT REPAIR/SECTION 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
151 GR V PHALANGISATION 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
152 GR V PTOSIS CORRECTION 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
153 GR V RADIAL FOREARM FLAPS/SIMILAR FLAPS 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00
154 GR V RADICAL CLUB HAND-CENTRALISATION 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF PLASTIC SURGERY
0 15% 15% 15% 10% 10%
w.e.f.- 01.03.2023
155 GR V RECON OF EACH EYE LID MAJOR DEFECTS 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
156 GR V RECONSTRUCTION OF LIP BY ABBE FLAP 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
157 GR V RECONSTRUCTION OF PARTIAL LOSS MAJOR 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
158 GR V RECONSTRUCTION ORAL CA WITH SINGLE FLAP 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
159 GR V RECONSTRUCTION WITH FASCIO CUTAN EOUS FLAPS 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
160 GR V REDUCTION RHINOPLASTY MAJOR 35000.00 40250.00 46290.00 53230.00 58550.00 64410.00
161 GR V REPAIR OF MACROSTOMIA 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
162 GR V REPAIR OF UNILAT. CLEF LIP & ANTRRIOR PALATE 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
163 GR V REVISION & SKIN GRAFTING-EXTENSIVE AREA 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
164 GR V REVISION OF SCARS - EXTENSIVE AREA 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
165 GR V REVISION SCAR WITH FLAP COVER-EXTENSIVE AREA 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
166 GR V SECONDARY CORRECTION OF CLEF LIP/NOSE MAJOR 35000.00 40250.00 46290.00 53230.00 58550.00 64410.00
167 GR V SKIN GRAFTING -EXTENSIVE AREA 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
168 GR V TENDON TRANSFER (EACH ) 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
169 GR V THUMB RECONSTRUCTION BY BONE GRAFT & FLAP 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
170 GR V TISSUE - EXPANSION (EACH STAGE) 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
171 GR V TM JOINT EXCISION -UNILATERAL 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
172 GR V TUMOUR EXCISION WITH RECONSTRUCTION 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
173 GR V VITILIGO EXCISION-OVER GRAFTIN-MAJOR 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
174 GR VI ABDOMINAL LIPECTOMY 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00
175 GR VI AUGMENTATION RHINOPLASTY W BONE/CARTILAGE GR 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00
176 GR VI AUGUMENTATION CHIN 35000.00 40250.00 46290.00 53230.00 58550.00 64410.00
177 GR VI AUGUMENTATION MALAR EMINAMCE 35000.00 40250.00 46290.00 53230.00 58550.00 64410.00
178 GR VI BLOW OUT FRACTURE ORBIT 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
179 GR VI BROW LIFT 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
180 GR VI CARPAL BONE STABILISATION MAJOR 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
181 GR VI CLOSURE OF PALATAL FISTULA WITH TONGUE/CHEEK 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
182 GR VI CONTOURING NECK SKIN 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
183 GR VI CONTRAC. RELEASE LARGE AREA FLAP COVER EXTEN 35000.00 40250.00 46290.00 53230.00 58550.00 64410.00
184 GR VI CONTRACTURE RELEASE & GRAFTING LARGE AREA 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
185 GR VI CORRECTION LYMPHOEDEMA MAJOR 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00
186 GR VI DERMABRASION MAJOR 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
187 GR VI DUPUYTREN'S CONTRACTURE MAJOR 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
188 GR VI EXCIS OF VERY EXTEN. SKIN TUMOURS & RECON 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
189 GR VI EXCISION OF SKIN TUMOURS & RECONS EXTENSIVE 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
190 GR VI EXCISION TUMOURS & RECONS FACE EXTENSIVE 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
191 GR VI FACIAL NERVE GRAFTING 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
192 GR VI FRACTURE FIXATION FACE MULTIPLE PLATE 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
193 GR VI FRACTURE MANDIBLE MULTIPLE PLATE 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
194 GR VI FREE FLAP TRANSFER (MICROVASCULAR) MINOR 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
195 GR VI HYPODPADIAS SINGLE STAGE RECON. OF URETHRA 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
196 GR VI MAJOR RECONSTRUCTION OF EAR 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
197 GR VI MICRA VASCULAR NERVE GRAFTING 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
198 GR VI NAEVUS EXCISION SCAR/NAEVUS - LARGE AREA 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
199 GR VI ONLAY BONE GRAFT 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
200 GR VI OPREATION FOR MICROGNAPTHIA 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
201 GR VI OPREATION FOR PROGNANTISM 35000.00 40250.00 46290.00 53230.00 58550.00 64410.00
202 GR VI OSTEOTOMY WITH BONE GRAFT 35000.00 40250.00 46290.00 53230.00 58550.00 64410.00
203 GR VI PHARYNGOPLASTY SPHINCTER 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
204 GR VI PHARYNGOPLASTY WITH REPAIR OF PALATE 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
205 GR VI POLLICIZATION 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
206 GR VI RECONS. POST BURNS MAJOR DEFORMITY OF HAND 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF PLASTIC SURGERY
0 15% 15% 15% 10% 10%
w.e.f.- 01.03.2023
207 GR VI RECONSTRUCTION OF TOTAL LOSS 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
208 GR VI RECONSTRUCTION WITH DOUBLE FLAP 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
209 GR VI REPAIR MULTIPLE TENDONS EACH HAND 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
210 GR VI REPAIR OF BILATERAL CLEFT LIP & ANTERIOR PAL 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
211 GR VI REPAIR OF EPISPADIAS 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00
212 GR VI SEGMENTAL EXCISION OF MANDIBLE RECONSTRUCTIO 45000.00 51750.00 59510.00 68440.00 75280.00 82810.00
213 GR VI TM JOINT EXCISION BILATERAL 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00
214 GR VI VAGINOPLASTY SSG 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
215 GR X CONGENTIAL CLEF FACE RECONSTRUCTION MAJOR 28000.00 32200.00 37030.00 42580.00 46840.00 51520.00
216 GR X CONTRACTURE RELEASE NECK FLAP COVER (FREE) 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
217 GR X EXCISION OF VERY EXTENSIVE SKIN TUMOURS 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
218 GR X FACE LIFTS 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
219 GR X LEFORTE I FRACTURE MAXILLA 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
220 GR X LEFORTE II FRACTURE MAXILLA 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
221 GR X MICRO REANIMATION OF FACE FOR PLASY FULL 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
222 GR X MICRO REANIMATION OF FACE FOR PLASY PART 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
223 GR X MICRO SOFT TISSUE TRANSFER FACE 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
224 GR X MICROLYMPHATIC SURGERY MAJOR 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00
225 GR X MICROVASCULAR RECON OF PENIES (EACH STAGE) 55000.00 63250.00 72740.00 83650.00 92020.00 101220.00
226 GR X NAEVUS EXISION SCAR/NAEVUS EXTENSIVE 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
227 GR X PAN FACIAL FRACTURE MAJOR 60000.00 69000.00 79350.00 91250.00 100380.00 110420.00
228 GR X PAN FACIAL FRACTURE MINOR 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
229 GR X REPAIR OF MULTIPLE TENDONS/NERVE REPAIR 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
230 GR X REVASCULARIZATION FINGER/HAND/FOREARM MAJOR 65000.00 74750.00 85960.00 98850.00 108740.00 119610.00
231 GR X REVASCULARIZATION FINGER/HAND/FOREARM MINOR 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
232 GR X THUMD RECONSTRUCTION BY MICROVASCULAR REPAIR 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00
233 GR X TOTAL REPLANTATION EACH FINGER (MICROVASCULAR 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00
234 GR X TOTAL REPLANTATION HAND MICROVASCULAR 70000.00 80500.00 92580.00 106470.00 117120.00 128830.00
235 GR X VAGINOPLASTY WITH FLAPS 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00
236 HAIR TRANSPLANTATION UPTO 1000 FOLICHL 45000.00 51750.00 59510.00 68440.00 75280.00 82810.00
237 HAIR TRANSPLANTATION UPTO 2000 FOLICHL 90000.00 103500.00 119030.00 136880.00 150570.00 165630.00
238 HAIR TRANSPLANTATION UPTO 3000 FOLICHL 130000.00 149500.00 171930.00 197720.00 217490.00 239240.00
239 HYMEN RECONSTRUCTION 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
240 IM FIXATION(Gr.II) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
241 INTEROSSEOUS WIRE REMOVAL-MAJOR(Gr.I) 2000.00 2300.00 2650.00 3050.00 3360.00 3700.00
242 INTEROSSEOUS WIRE REMOVAL-MINOR(Gr. 0) 1500.00 1730.00 1990.00 2290.00 2520.00 2770.00
243 INVERTED NIPPLE CORRECTION 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
244 LOCAL FLAP(EG.V-Y)(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
245 LOCAL FLAPS FACE-SMALL(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
246 LYPOMA 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
247 MAJOR LIMB AMPUTATION(Gr.III) 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
248 MASTOPERY 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00
249 MINOR RECONSTRUCTION OF EAR(Gr.II) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
250 MINOR REPAIR OF NOSE(Gr.II) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
251 MINOR SUTURING OF SKIN(Gr. I) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
252 NAEVUS EXCISION SCAR /NAEVUS -SMALL AREA(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
253 NASALTIP CORRECTION(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
254 PLATE/NAIL/SCREW REMOVAL -MAJOR(Gr.II) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
255 PLATE/NAIL/SCREW REMOVAL-MINOR(Gr.I) 8000.00 9200.00 10580.00 12170.00 13390.00 14730.00
256 POLYDACTYLY EXCISION MINOR(Gr.II) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
257 PRIMARY REPAIR OF TENDON (EACH)(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
258 REC OF EACH EYE LID MINOR DEFECTS(Gr.II) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF PLASTIC SURGERY
0 15% 15% 15% 10% 10%
w.e.f.- 01.03.2023
259 RECONSTRUCTION OF PARTIAL LOSS -MINOR(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
260 RECONSTRUCTION POST BURN -MINOR DEFORMITYOF(Gr.III 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
261 RECONSTRUCTION SURGERY OF MANDIBLE 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00
262 REDUCTION & SPLINTING OF FRACTURES (EACH)(Gr.II) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
263 REDUCTION OF FRACTURE OF- NASAL BONES(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
264 RELEASE AN EXCISION OF PVC NECK AXILLLA 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00
265 RELEASE OF SYNDACTYLY (EACH FINGER)(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
266 REMOVAL OF TISSUE EXPANDOR 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
267 REPAIR AFER INJURY(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
268 REPAIR OF BRACHIAL ARTERY 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
269 REPAIR OF INJURY-SKIN ONLY(Gr. I) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
270 REPAIR OF TORN EAR LOBULE-EACH(Gr. I) 8000.00 9200.00 10580.00 12170.00 13390.00 14730.00
271 REVISION & SKIN GRAFTING SMALL AREA(Gr.II) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
272 REVISION AMPUTATION-EACH FINGER(Gr.II) 5000.00 5750.00 6610.00 7600.00 8360.00 9200.00
273 REVISION OF SCARS WITH Z-PLASTIS(EACH)(Gr.III) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
274 REVISION OF SCARS-SMALL AREA(Gr.III) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
275 REVISION SCAR WITH FLAP COVER-SMALL AREA(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
276 SECONDARY CORRECTION OF CLEFTLIP - MINOR(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
277 SERIAL EXCISION SCAR/NAEVUS(EACH)MINOR(Gr.II) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
278 SKIN GRAFTING - SMALL AREA(Gr.III) 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00
279 STENOSIS NOSTRAL CORRECTION(Gr.III) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
280 SUTURE OF MINOR WOUNDS(EACH)(Gr. I) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
281 SUTURE REMOVAL CLEFT LIP REPAIR(Gr. 0) 2000.00 2300.00 2650.00 3050.00 3360.00 3700.00
282 TANGENTIAL-EXCISION & GRAFTING(EACH 4%)(Gr.III) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
283 TRAN OF SKIN AS TUBES OF PEDICLES SUB STAGE(Gr.II) 8000.00 9200.00 10580.00 12170.00 13390.00 14730.00
284 ULNAR NERVE TRANSPOSITION(Gr.II) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00
285 VAGINAL TIGHTENING 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
286 VITILIGO EXCISION - OVER GRAFTING (MINOR)(Gr.III) 18000.00 20700.00 23810.00 27380.00 30120.00 33130.00
287 VITILIGO EXCISION - PRIMARY CLOSURE(Gr.III) 12000.00 13800.00 15870.00 18250.00 20080.00 22090.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF NEURO-SURGERY

OPD/ SEMI. EXECUTIVE SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE
1 ACF REPAIR 13125.00 20000.00 25000.00 30000.00 40000.00 50000.00

2 ACUTE SUBDURAL HEMATONE ICH/EDH 15000.00 20000.00 25000.00 30000.00 40000.00 50000.00

3 ANEURYSMS AVM 21000.00 26250.00 45000.00 60000.00 80000.00 100000.00

4 BRAIN ABCESS EXCISION 13125.00 16380.00 19690.00 21000.00 23625.00 26250.00

5 BRAIN ABSUC TAPPING / EVD 4200.00 5250.00 6300.00 7350.00 8400.00 9450.00

6 BRAIN TUMOUR 18725.00 21725.00 24725.00 27725.00 30725.00 33725.00

7 CHRONIC SUBDURAL HEMORRHAGE 12125.00 25000.00 35000.00 50000.00 65000.00 80000.00

8 CISTERNAL PUNCTURE 4200.00 5250.00 6300.00 7350.00 8400.00 9450.00

9 CONTUSION 15000.00 25000.00 37350.00 50000.00 53000.00 56000.00

10 CORPECTORMY & GRAFTING GR V III 15750.00 25000.00 40000.00 52500.00 62500.00 72500.00

11 DEPRESSED FRACTURE 9975.00 12495.00 14965.00 19425.00 20475.00 21525.00

12 DSA PROCEDURE CHRG 4200.00 4200.00 4200.00 4200.00 4200.00 4200.00

13 ENDOSCOPIC ASSISTANCE 2050.00 4315.00 7575.00 9890.00 12310.00 14730.00

14 GR V EXTRA DURAL SPINAL TUMOR 15000.00 25000.00 42000.00 52000.00 62000.00 72000.00

15 INTRADURAL/SPINAL TUMOUR GR VIII 18000.00 27500.00 47000.00 65000.00 70000.00 75000.00

16 INTRAVENTICULAR TUMOUR 21000.00 26250.00 41500.00 62000.00 70000.00 75000.00

17 L.P. SHUNT 12825.00 18505.00 28000.00 35000.00 42000.00 49000.00

18 LUMBAR DISC SURGERY GR VI 13125.00 16380.00 36500.00 52500.00 68500.00 84500.00

19 LUMBER DRAIN 2625.00 3255.00 4000.00 6000.00 9500.00 12500.00

20 LUMBER PUNCTURE 1050.00 1315.00 1575.00 1890.00 2310.00 2625.00

MICROVASCULAR DECOMPRESSION GR VII
21 20000.00 30000.00 52000.00 60000.00 70000.00 80000.00
/ POST FOSSA
22 POST FUSION 15750.00 20000.00 25000.00 30000.00 40000.00 50000.00
SKULL BASE SURGERY
23 20000.00 30000.00 52000.00 60000.00 70000.00 80000.00
(INCL CP ANGLE) GR VI
24 SKULL TRACTION 2625.00 3255.00 3940.00 4410.00 4725.00 5040.00
SPINAL DECOM & INSTRUMENTATION
25 18570.00 26500.00 45000.00 55500.00 70500.00 85500.00
SINGLE LEVEL
SPINAL DECOM & INSTRUMENTATION TWO
26 21500.00 32500.00 55000.00 65000.00 80000.00 95000.00
LEVEL
SPINAL DECOM & INSTRUMENTATION
27 25000.00 37000.00 65000.00 75000.00 90000.00 105000.00
THREE LEVEL
SPINAL DECOM & INSTRUMENTATION
28 30000.00 42000.00 85000.00 95000.00 110000.00 115000.00
MORE THAN LEVEL
29 SPINAL DYSRAPHISM GR VII 15750.00 25000.00 42000.00 60000.00 70000.00 80000.00

30 SUBDURAL TAPPING 4200.00 5250.00 10000.00 17350.00 18400.00 19450.00

31 SUTURING OF SCALP (LARGE) 1050.00 1500.00 2000.00 2500.00 4250.00 5000.00

32 SUTURING OF SCALP (SMALL) 525.00 525.00 525.00 525.00 525.00 525.00

FORAMEN MAGNUM DECOMPRESSION GR
33 15750.00 25000.00 37500.00 47500.00 65500.00 82500.00
VII
TRANSORAL DECOM. OF CERVICAL
34 21000.00 35000.00 62000.00 75000.00 80250.00 85500.00
VERTIBRA
TRANSTHORACIC SPINAL
35 21000.00 40000.00 55000.00 70000.00 85000.00 100000.00
INSTRUMENTATION GR VIII
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF NEURO-SURGERY

OPD/ SEMI. EXECUTIVE SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE
36 TSS 21000.00 35000.00 60000.00 75000.00 90000.00 105000.00

37 V.P. SHUNT 12825.00 18505.00 30000.00 37500.00 42500.00 50000.00

38 VENTRICULAR TAPPING 4200.00 5250.00 6300.00 7350.00 8400.00 9450.00

39 LAMINECTOMY 12500.00 17500.00 25500.00 32500.00 42500.00 52000.00

40 DECOMPRESSIVE CRANIOTOMY 12500.00 17500.00 27500.00 35500.00 47500.00 58500.00

41 ETV 12825.00 18505.00 24185.00 29865.00 35545.00 41225.00

42 FORAMINOTOMY 4000.00 6500.00 7500.00 9000.00 10500.00 12000.00

43 VI ANEURYSMS OR AVM GR VIII 21000.00 26250.00 31500.00 42000.00 47250.00 52500.00

TUMOR SURGERY PACKAGE 01 UPTO 3 Hrs
44 3150.00 3150.00 3150.00 3150.00 3150.00 3150.00
PROCEDURE CHRG
TUMOR SURGERY PACKAGE 02 MORE THAN
45 5250.00 5250.00 5250.00 5250.00 5250.00 5250.00
3 Hrs PROC CHRG
TUMOR SURGERY PACKAGE 03 PROCEDURE
46 5250.00 5250.00 5250.00 5250.00 5250.00 5250.00
CHRG
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF NEUROLOGY

OPD/ SEMI. EXECUTIV SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE E DELUXE
1 BRACIAL REFOEX 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00

2 EEG 1260.00 1260.00 1260.00 1260.00 1260.00 1260.00

3 ELECTROMAYOGRAPHY PER MUSCLE(EMG PER MUSCLE)

1000.00 1000.00 1000.00 1000.00 1000.00 1000.00

4 FACIAL NERVE STUDY WITH BLINK REFLEX 1200.00 1200.00 1200.00 1200.00 1200.00 1200.00

5 LLS + SCIATIC NERVE + FEMORAL NERVE 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00

6 NCV (UL+LL) 2100.00 2100.00 2100.00 2100.00 2100.00 2100.00

7 NCV + EMG 3150.00 3150.00 3150.00 3150.00 3150.00 3150.00

8 NCV FOR SINGLE PART 1050.00 1050.00 1050.00 1050.00 1050.00 1050.00

9 RNS (REPETITIVE NERVE STIMULATION) 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00

10 SEP 1200.00 1200.00 1200.00 1200.00 1200.00 1200.00

11 ULS + BRACIAL PLEXUS 1800.00 1800.00 1800.00 1800.00 1800.00 1800.00

12 VEP 1200.00 1200.00 1200.00 1200.00 1200.00 1200.00

13 VIDEO EEG 3000.00 3000.00 3000.00 3000.00 3000.00 3000.00

14 EEG BED SIDE 2500.00 2500.00 2500.00 2500.00 2500.00 2500.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF NEPHROLOGY

OPD/ SEMI. EXECUTIV SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE E DELUXE
1 HEMO DIALYSIS 1050.00 1050.00 1050.00 1050.00 1050.00 1050.00
2 HEMO DIALYSIS IN I.C.U 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00

3 PERITONEAL DIALYSIS(MANUAL) 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00

4 EMERGENCY CHARGES FOR DIALYSIS 400.00 400.00 400.00 400.00 400.00 400.00
5 FEMORAL CATHETERIZATION 630.00 630.00 630.00 630.00 630.00 630.00
6 INTERNAL JUGLAR CATHETERIZATION 1260.00 1260.00 1260.00 1260.00 1260.00 1260.00
7 SUBCLAVIAN CATHETERIZATION 1260.00 1260.00 1260.00 1260.00 1260.00 1260.00
KIDNY BIOPSY UNDER URLTRASOUD (WITH
8 5250.00 5250.00 5250.00 5250.00 5250.00 5250.00
GUN)
9 EMERGENCY CHARGES FOR HEMODYLYSIS 420.00 420.00 420.00 420.00 420.00 420.00

10 HDF (O4 Hrs) 4000.00 4000.00 4000.00 4000.00 4000.00 4000.00

11 SLED (HDF - 08 Hrs) 8000.00 8000.00 8000.00 8000.00 8000.00 8000.00

12 SLED (HDF - 12 Hrs) 12000.00 12000.00 12000.00 12000.00 12000.00 12000.00

13 SLED (06 Hrs) 2000.00 2000.00 2000.00 2000.00 2000.00 2000.00

14 SLED IN ICU (06 Hrs) 2500.00 2500.00 2500.00 2500.00 2500.00 2500.00

15 SLED (08 Hrs) 2500.00 2500.00 2500.00 2500.00 2500.00 2500.00

16 SLED IN ICU (08 Hrs) 3000.00 3000.00 3000.00 3000.00 3000.00 3000.00

17 CRRT CHARGES (FOR MAXI. 24 HRS) 25000.00 25000.00 25000.00 25000.00 25000.00 25000.00

18 PERM CATH (TUNNELED HD CATHETER) REMOVAL 2000.00 2000.00 2000.00 2000.00 2000.00 2000.00

Note :- Medicine & Consumable will be charged extra.

 SRMS IMS, BAREILLY
RATE LIST OF DERMATOLOGY DEPARTMENT (w.e.f.- 21.06.2023)
S.
PROCEDURE NAME AMT
NO.
1 RADIOSURGERY(MINOR) 600.00
2 RADIO SURGERY (Test) 350.00
3 CRYOTHERAPY(MINOR) 600.00
4 CRYOTHERAPY (Test) 350.00
5 NEEDLING & CHEMICAL CAUTERY(SKIN) 600.00
6 NEEDLING & CHEMICAL CAUTERY (Minor) 350.00
7 INTRALESIONAL INJECTION 600.00
8 INTRALESIONAL INJECTION (Minor) 350.00
9 PODOPHYLLIN APPLICATION 350.00

10 SKIN BIOPSY (Including Histopath) 1800.00

11 ASST 1100.00
12 AST 350.00
13 VENEREAL THERAPY 600.00
14 PHOTOTHERAPY CHARGES (PER SITTING) 120.00
15 ACNE (IPL) 600.00
16 IPL 600.00
17 COMEDONAL EXTRACTION 600.00
18 COMEDONAL EXTRACTION (Minor) 350.00
19 PAIRING 600.00
20 PAIRING (Minor) 350.00
21 FRACTIONAL CO2 (MINOR) 600.00
22 CHEMICAL PEELING (Cosmetic) 1200.00
23 CHEMICAL PEELING (Derma) 600.00
24 PLATELET RICH PLASMA THERAPY 1200.00
25 PRP (OTHER 5+1) 6000.00
26 PRP MAJOR ( 5 + 1 SITTING) 18000.00
27 HAIR REMOVAL (IPL) 600.00
28 HAIR REMOVAL (1 SITE) SINGLE SITTING 1200.00
29 HAIR REMOVAL (2 SITE) 2400.00
30 FULL FACE HAIR REMOVAL (SINGLE SITTING) 5000.00
31 UPPER LIPS HAIR REMOVE (5+ 1 SITTING) 6000.00
32 CHIN HAIR REMOVE (5 + 1 SITTING) 6000.00
33 UPPER LIPS HAIR REMOVE (10 + 2 SITTING) 12000.00
34 CHIN HAIR REMOVE (10 + 2 SITTING) 12000.00
35 UL + CHIN HAIR REMOVE (5+ 1 SITTING) 10000.00
36 SIDE BURNS HAIR REMOVE (5 + 1 SITTING) 10000.00
37 UL + CHIN HAIR REMOVE (10 + 2 SITTING) 19000.00
1 RADIOSURGERY(MINOR) 600.00
38 SIDE BURNS HAIR REMOVE (10 + 2 SITTING) 19000.00
39 FULL FACE HAIR REMOVE (5 + 1 SITTING) 20000.00
40 FULL FACE HAIR REMOVE (10 + 2 SITTING) 38000.00
41 LASER (PIGMENTORY) 1200.00
42 LASER (NAIL) 600.00
43 PIGMENTORY LASER (5 + 1 SITTING) 6000.00
44 PIGMENTORY LASER (10 + 2 SITTING) 12000.00
45 PIGMENTORY LASER (15 + 3 SITTING) 18000.00
46 MICRODERMABRASION (Major) 1200.00
47 MICRODERMABRASION (Minor) 600.00
48 IOTOPHORESIS (1 month) 600.00
49 IOTOPHORESIS (Minor) 120.00
50 LASER MNRF (MINOR) 350.00
51 LASER MNRF 600.00
52 LASER MNRF PACKAGE (FOR 08 SITTINGS) 4000.00
53 LASER ER - YAG (MINOR) 350.00
54 LASER ER - YAG 600.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF OPTHALMOLOGY

OPD/ EXECUTIV
SEMI. SUPER
S.N. PARTICULARS GEN. PRIVATE DELUXE E
PRIVATE DELUXE
WARD DELUXE
1 BIOMETRY 250.00 250.00 250.00 250.00 250.00 250.00
2 CHALAZION EXTRACTION / LID ABSCESS 300.00 300.00 300.00 300.00 300.00 300.00
3 CONCRETION REMOVAL 55.00 55.00 55.00 55.00 55.00 55.00
4 CORNEAL FB REMOVAL 55.00 55.00 55.00 55.00 55.00 55.00
5 CYCLOCRYOPOXY (BOTH EYES) 1050.00 1050.00 1050.00 1050.00 0.00 0.00
6 CYCLOCRYOPOXY (SINGLE EYE) 525.00 525.00 525.00 525.00 0.00 0.00
7 DRESSING 55.00 55.00 55.00 55.00 55.00 55.00
8 FFA 2500.00 2500.00 2500.00 2500.00 2500.00 2500.00
9 FFA & OCT 3990.00 3990.00 3990.00 3990.00 3990.00 3990.00
10 FULL FIELD SCREENING / THRESHOLDING 525.00 525.00 525.00 525.00 0.00 0.00
11 FUNDUS PHOTO 1500.00 1500.00 1500.00 1500.00 1500.00 1500.00
12 FUNDUS PHOTO AND OCT 3360.00 3360.00 3360.00 3360.00 3360.00 3360.00
13 GLUCOMA SCREENING /THRESHOLDING 525.00 525.00 525.00 525.00 0.00 0.00
14 GLUE & BCL 1050.00 1050.00 1050.00 1050.00 0.00 0.00
15 HVF 525.00 525.00 525.00 525.00 525.00 525.00
16 HVF SINGLE SIDE 265.00 265.00 265.00 265.00 0.00 0.00
17 IRIDOTOMY 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00
18 KEROTOPLASTY REGISTRAION 105.00 105.00 105.00 105.00 0.00 0.00
19 LASER PCO 1000.00 1000.00 1000.00 1000.00 0.00 0.00
20 OCT 3000.00 3000.00 3000.00 3000.00 3000.00 3000.00
21 ORTHOPTIC CHECKUP 50.00 50.00 50.00 50.00 50.00 50.00
22 ORTHOPTIC EXERCISE 50.00 50.00 50.00 50.00 50.00 50.00
23 PLEOPTIC EXERSISES 50.00 50.00 50.00 50.00 50.00 50.00
24 PROSTHETIC EYE 1250.00 1250.00 1250.00 1250.00 0.00 0.00
25 PROSTHETIC EYE FITTING 840.00 840.00 840.00 840.00 0.00 0.00
26 PROSTHETIC SOFT LENSES (PER PIECE) 1155.00 1155.00 1155.00 1155.00 1155.00 1155.00
27 R/B INJ. 55.00 55.00 55.00 55.00 55.00 55.00
PAN RATINAL PHOTOCOAGULATION ( 3
28 5000.00 5000.00 5000.00 5000.00 5000.00 5000.00
SITTING)
29 RATINAL LASER(PACKAGE FOR DIABETIC) 2100.00 2100.00 2100.00 2100.00 0.00 0.00
30 REFRACTION 40.00 40.00 40.00 40.00 40.00 40.00
31 REPAIR OF IRIS PROLAPSE 525.00 525.00 525.00 525.00 0.00 0.00
32 PAN RETINAL PHOTOCOAGULATION (PER 2000.00 2000.00 2000.00 2000.00 2000.00 2000.00
SITTING)
SEC. IOL + ANTI VIT. PUPILLOPLASTY PROC.
33 2625.00 3255.00 3940.00 4465.00 5040.00 5775.00
CHARGES
SECOUNDRY IOL + ANTI VITIRECTOMY PROC.
34 315.00 395.00 475.00 630.00 840.00 1050.00
CHARGES.
35 S/C INJ. 50.00 50.00 50.00 50.00 50.00 50.00
36 SCRAPING OF CORNEAL ULCER 55.00 55.00 55.00 55.00 55.00 55.00
37 SOFT BENZ 49G (PER PAIR) 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00
38 SOFT UV PROTECTIVE LENSES (PER PAIR) 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00
39 SUTURE REMOVAL 55.00 55.00 55.00 55.00 55.00 55.00
40 SYRINGING BOTH EYE 75.00 75.00 75.00 75.00 75.00 75.00
41 SYRINGING ONE EYE 50.00 50.00 50.00 50.00 50.00 50.00
42 TRABECULETOMY PROC. CHARGES. 160.00 210.00 265.00 315.00 370.00 420.00
43 YAG LASER 1 1050.00 1050.00 1050.00 1050.00 1050.00 1050.00
44 YAG LASER 2 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00
45 YAG PT ( LASER IRODOTOMY) 2625.00 2625.00 2625.00 2625.00 2625.00 2625.00
46 YAG PT (LASER IRODOTOMY) 1 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00
47 YAG PT (LASER IRODOTOMY) 2 2100.00 2100.00 2100.00 2100.00 2100.00 2100.00
48 CONTACT LENS 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00
49 DISPOSABLE CONTACT LENS 2500.00 2500.00 2500.00 2500.00 2500.00 2500.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF OPTHALMOLOGY

OPD/ EXECUTIV
SEMI. SUPER
S.N. PARTICULARS GEN. PRIVATE DELUXE E
PRIVATE DELUXE
WARD DELUXE
RETINAL PHOTOCOAGULATION IN NEONATES
50 10000.00 10000.00 10000.00 10000.00 10000.00 10000.00
(PER EYE)
PAN RETINAL PHOTOGOAGULATION (PER
51 2000.00 2000.00 2000.00 2000.00 2000.00 2000.00
SITTING)
OPTHALMOLOGY PACKAGES
1 TRABECULETOMY (GLUCOMA) 5000.00 NA NA NA NA NA
2 SUQIENT 10000.00 NA NA NA NA NA
3 IOL ECCE WITH FOREIGN LENS FOR RSBY 3680.00 NA NA NA NA NA
4 PHACO NON FOLDABLE IOL 6300.00 NA NA NA NA NA
WITH
PHACOINDIAN LENS
NON FOLDABLE IOL
5 7350.00 NA NA NA NA NA
WITH FOREIGN LENS
6 PHACO FOLDABLE INDIAN-1 8400.00 NA NA NA NA NA
7 PHACO FOLDABLE IOL (INDIAN-LENS) 10500.00 NA NA NA NA NA
8 PHACO ACC. IOL 12600.00 NA NA NA NA NA
(FOREIGN FOLDABLE LENS
PHACO MULTIFOCAL LENS)
9 15750.00 NA NA NA NA NA
(FOREIGN FOLDABLE LENS)
10 PHACO HYDROPHOBIC LENS 21000.00 NA NA NA NA NA
(FOREIGN ACRYLIC LENS)
11 PHACO HYDROPHOBIC2ND LENS 3 26250.00 NA NA NA NA NA
PHACO HYDROPHOBIC IOL-03 OR 31500.00 NA NA NA NA NA
MULTIFOCAL IOL
12 PHACO MULTIPHOCA L1ST LENS 2 36750.00 NA NA NA NA NA
(MULTIFOCAL DIFF IOL)
13 PHACO FOLDABLE TORIC LENS 4 42000.00 NA NA NA NA NA
(MULTIFOCAL DIFF IOL)
14 PHACO FOLDABLE FOREIGN MULTI FOCAL-2 63000.00 NA NA NA NA NA
(MULTIFOCAL LENS)

*IN CASE OF PATIENTS ADDMITTED IN GENERAL WARD A/C, THAN DIFFERENCE

OF GEN. WARD NON A/C TO A/C WILL BE CHARGED EXTRA IN CASE OF PACKAGES.
 SHRI RAM MURTI SMARAK INSTITUTE OF MEDICAL SCIENCES BAREILLY.
RATE LIST OF OBST. & GYNAECOLOGY PROCEDURES & PACKAGES

General Semi Executiv Super

S.No. Package Name Private Delux
Ward Private e Delux Delux

1 MENSTRUAL REGULATION 2100.00 3150.00 4500.00 5500.00 6500.00 8000.00

2 MID TRIMESTER ABORTION 5250.00 6500.00 7500.00 8500.00 9500.00 10600.00

3 MINI LAP STERLIZATION 5500.00 8250.00 12000.00 13500.00 16200.00 18500.00

4 LAPAROSCOPIC STERLIZATION 6500.00 10000.00 13000.00 16000.00 18500.00 21500.00

5 CERVICAL CONIZATION 5500.00 9500.00 14500.00 16500.00 20500.00 23500.00

6 1st TRIMESTER ABORTION (SURGICAL) 4500.00 5800.00 7100.00 8000.00 9000.00 10000.00

7 SUCTION & EVACUATION 4500.00 5800.00 7100.00 8000.00 9000.00 10000.00

8 DILATATION & CURETTAGE 4500.00 5800.00 7100.00 8000.00 9000.00 10000.00

9 ENDOMETRIAL BIOPSY 4500.00 5800.00 7100.00 8000.00 9000.00 10000.00

10 POLYPECTOMY 4500.00 5800.00 7100.00 8000.00 9000.00 10000.00

11 SECONDARY SUTURING 2000.00 3500.00 4700.00 5800.00 7000.00 8500.00

12 VULVAL BIOPSY (LOCAL) 2500.00 5500.00 7700.00 9000.00 12000.00 14500.00

13 CERVICAL BIOPSY (LOCAL) 2500.00 5500.00 7700.00 9000.00 12000.00 14500.00

14 BARTHOLIN CYST EXCISION 4000.00 7000.00 10000.00 11000.00 14000.00 16500.00

15 VAGINAL CYST EXCISION 4000.00 7000.00 10000.00 11000.00 14000.00 16500.00

16 ELECTROCAUTERY FOR CERVIX 3000.00 5100.00 8000.00 9000.00 12000.00 14500.00

17 FRACTIONAL CURETTAGE 3000.00 5100.00 8000.00 9000.00 12000.00 14500.00

18 INCISION AND DRAINAGE 3000.00 5100.00 8000.00 9000.00 12000.00 14500.00

19 CAESAREAN SECTION 12000.00 21500.00 30500.00 34000.00 41500.00 48000.00

20 HYSTEROTOMY 11000.00 21000.00 30000.00 33500.00 41000.00 47000.00

21 OPEN LAPAROTOMY 8750.00 15000.00 20500.00 23500.00 27500.00 31500.00

22 MC DONALD'S CERVICAL ENCIRCALAGE 8750.00 15000.00 20500.00 23500.00 27500.00 31500.00

23 EXPLORATORY LAPAROTOMY 12000.00 21500.00 30000.00 34000.00 41000.00 47500.00

24 PERINEOPLASTY FOR CPT 11000.00 21000.00 30000.00 33500.00 41000.00 47000.00

25 SIMPLE VULVECTOMY 12000.00 22000.00 30000.00 35000.00 41000.00 47500.00

26 SUB TOTAL HYSTERECTOMY 12000.00 22000.00 30000.00 35000.00 41000.00 47500.00

27 TOTAL ABDOMINAL HYSTERECTOMY 12000.00 22000.00 30000.00 35000.00 41000.00 47500.00

28 OVARIAN CYSTECTOMY 11000.00 19500.00 25500.00 29000.00 34000.00 38000.00

29 PERIPARTUM HYSTERECTOMY 16000.00 25000.00 33000.00 37000.00 43500.00 50000.00

30 TUBAL RECONSTRUCTIVE SURGERY 16500.00 22500.00 28000.00 31000.00 35500.00 40500.00

31 FORTHERGILL'S OPERATION 16000.00 25000.00 33000.00 37000.00 43500.00 50000.00

 General Semi Executiv Super
S.No. Package Name Private Delux
Ward Private e Delux Delux

32 MYOMECTOMY 16000.00 25000.00 33000.00 37000.00 43500.00 50000.00

33 OPERATION FOR SUI 16000.00 25000.00 33000.00 37000.00 43500.00 50000.00

34 OPERATION FOR GENITOURINARY FISTULA 22000.00 27000.00 34500.00 39500.00 46500.00 53500.00

35 OPERATION FOR RECTO VAGINAL FISTULA 22000.00 27000.00 34500.00 39500.00 46500.00 53500.00

36 VAGINAL RECONSTRUCTIVE SURGERY 16000.00 25000.00 33000.00 37000.00 43500.00 50000.00

RADICAL VULVECTOMY WITH INGUINAL

37 22000.00 27000.00 34500.00 39500.00 46500.00 53500.00
L.N. DISSECTION

38 STAGING LAPAROTOMY 16000.00 25000.00 33000.00 37000.00 43500.00 50000.00

39 SACROPINOUS FIXATION 16000.00 25000.00 33000.00 37000.00 43500.00 50000.00

40 SACRO COLPOPEXY 16000.00 25000.00 33000.00 37000.00 43500.00 50000.00

41 HYSTEROPEXY 16000.00 25000.00 33000.00 37000.00 43500.00 50000.00

TOTAL ABDOMINAL HYSTERECTOMY WITH

42 13500.00 21000.00 26000.00 30000.00 34000.00 38500.00
BILATERAL SALPINGO-OOPHERECTOMY

43 NDVH 13500.00 21000.00 26000.00 30000.00 34000.00 38500.00

44 VH+PFR+ACR 14000.00 24500.00 32500.00 37500.00 43500.00 50500.00

45 TYPE II HYSTERECTOMY 22000.00 27000.00 34500.00 39500.00 46500.00 53500.00

46 TYPE III HYSTERECTOMY 22000.00 27000.00 34500.00 39500.00 46500.00 53500.00

47 TYPE IV HYSTERECTOMY 27000.00 30500.00 38000.00 43000.00 49000.00 55500.00

48 CYTOREDUCTIVE SURGERY 27000.00 30500.00 38000.00 43000.00 49000.00 55500.00

49 LAPAROTOMY AND ADHESIOLYSIS 13500.00 22000.00 30000.00 34000.00 41500.00 48000.00

50 HIGH RISK CAESAREAN SECTION 16500.00 25000.00 33500.00 37500.00 44500.00 51000.00

51 NORMAL VAGINAL DELIVERY 6000.00 9500.00 14000.00 17500.00 21500.00 26000.00

52 INSTRUMENTAL DELIVERIES 7500.00 11500.00 17000.00 19500.00 23000.00 26500.00

53 HIGH RISK VAGINAL DELIVERY 7500.00 11500.00 17000.00 19500.00 23000.00 26800.00

ASSISTED BREECH/
54 7500.00 11000.00 16700.00 19500.00 22500.00 26000.00
ABNORMAL DELIVERY

55 MANUAL REMOVAL OF PLACENTA 7000.00 11000.00 15000.00 17000.00 21500.00 24500.00

SURGICAL PACKAGE CHARGES IN OBST. & GYNAECOLOGY

General General
Semi Executiv Super
S.No. Package Name DAYS Ward Ward Private Delux
Private e Delux Delux
(Non AC) (AC)

DAY CARE DIAGNOSTIC HYSTEROSCOPY

1 1 5500 7000 9000 12500 16000 19000 23000
(PKG-01)
DIAGNOSTIC LAPROSCOPY (PKG-
2 2 10500 13000 16000 21000 26000 31000 37000
02)
DIAGNOSTIC HYSTEROLAPROSCOPY
3 2 15000 18000 23000 30000 35000 42000 52000
(PKG-03)
MINOR OPERATIVE HYSTEREOSCOPY (PKG-
4 2 11000 13000 16000 21000 26000 31000 37000
04)
MAJOR OPERATIVE HYSTEREOSCOPY (PKG-
5 2 15000 18000 23000 30000 35000 42000 52000
05)
 General Semi Executiv Super
S.No. Package Name Private Delux
Ward Private e Delux Delux

TOTAL LAPROSCOPIC HYSTRECTOMY (PKG-

6 5 20000 24000 30000 41000 52000 60000 71000
06)

7 LAPROSCOPIC MYOMECTOMY (PKG-07) 5 20000 24000 30000 41000 52000 60000 71000

8 LAPROSCOPIC SACROCOPOPEXY (PKG-08) 5 20000 24000 30000 41000 52000 60000 71000

9 LAPROSCOPY CYSTECTOMY (PKG-09) 5 15000 19000 25500 41000 48000 56000 66000

10 LAPROSCOPY ENDOMETRIOSIS (PKG-10) 5 22000 25000 31000 42000 55000 63000 75000

HYSTEROLAPROSCOPIC TUBAL
11 5 20000 24000 30000 41000 52000 60000 71000
CANULATION (PKG-11)
LAPROSCOPY FERTILITY ENHANCING
12 5 20000 24000 30000 41000 52000 60000 71000
SURGERY (PKG-12)
LAPROSCOPY CERVICAL ENCIRCLAGE (PKG-
13 5 15000 19000 25500 41000 48000 56000 66000
13)

14 LAPROSCOPY ECTOPIC (PKG-14) 5 20000 24000 30000 41000 52000 60000 71000

15 LAPROSCOPY TUBOPLASTY (PKG-15) 5 15000 19000 25500 41000 48000 56000 66000

INCLUTION-ROOM CHARGE, SURGERY CHARGES, ANESTHESIA CHARGES, LAPROSCOPIC EQUIPMENT CHARGES, O.T. CHARGES & GASES
USE IN O.T. & ETCO2 CHARGES ONLY.
EXCLUTION- MEDICINE AND CONSUMABLE , HARMONIC SCALPAL, CANNULATION SET & OTHER EQUIPMENT CHARGES IF USE IN O.T.
WILL BE CHARGED EXTRA.

Other Procedures Of Obst. & Gynaecology & IVF CENTRE

1 SECONDARY SUTURING EPISIOTOMY 1500.00 1750.00 2100.00 2350.00 2850.00 3350.00

EXAMINATION UNDER GENERAL

2 4000.00 4750.00 5500.00 6250.00 7000.00 7500.00
ANAESTHESIA

3 VAGINAL REMOVAL OF MISPLACED CUT 2000.00 2450.00 3000.00 3500.00 4000.00 4500.00

4 VAGINAL SEPTAL RESECTION 2750.00 3500.00 4500.00 5500.00 6000.00 6500.00

5 COLPOTOMY 1750.00 2500.00 3000.00 3500.00 4000.00 4500.00

6 CRYOCAUTERY FOR CERVIX 650.00 750.00 850.00 1050.00 1150.00 1250.00

7 COLPOSCOPY 1150.00 1400.00 1700.00 2000.00 2750.00 3500.00

8 COLPOSCOPIC GUIDED BIOPSY 1750.00 2500.00 3000.00 3500.00 4000.00 4500.00

9 GAMETE FREEZING 15000.00 15000.00 15000.00 15000.00 15000.00 15000.00

10 PHYSIOLOGICAL ICSI (PICSI) 5000.00 5000.00 5000.00 5000.00 5000.00 5000.00

11 SPERM VITRIFICATION 13125.00 13125.00 13125.00 13125.00 13125.00 13125.00

12 PICSI 5000.00 5000.00 5000.00 5000.00 5000.00 5000.00

13 SPERM MOTILITY IMPROVING PROCEDURE 1600.00 1600.00 1600.00 1600.00 1600.00 1600.00

14 SEMEN BANK 8500.00 8500.00 8500.00 8500.00 8500.00 8500.00

 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF PUMONARY LAB PROCEDURES

EXECUTIV
OPD/ SEMI. SUPER
S.N. PARTICULARS PRIVATE DELUXE E
GEN. WARD PRIVATE DELUXE
DELUXE
1 ASCITIC TAPPING 700.00 700.00 700.00 700.00 700.00 700.00

2 BIOPSY / ASPIRATION 2000.00 3000.00 3500.00 4250.00 5000.00 6000.00

3 BRONCHOSCOPY DIAGNOSTIC 3000.00 3300.00 380.00 4200.00 4200.00 4200.00

4 BRONCHOSCOPY PROCEDURE 3000.00 3300.00 380.00 4200.00 4200.00 4200.00

5 BRONCHOSCOPY THERAPEUTIC 3000.00 3300.00 380.00 4200.00 4200.00 4200.00

6 DIFFUSION STUDY 2500.00 3500.00 3750.00 4000.00 4000.00 4000.00

7 FIBREOPTIC BRONCHOSCOPY 3000.00 3300.00 380.00 4200.00 4200.00 4200.00

8 HALMOPTYSIS 2625.00 3990.00 3990.00 5250.00 6300.00 7875.00

9 INTER COSTAL DRANEZ INSERTION (ICD) 2200.00 2725.00 2725.00 2725.00 2725.00 2725.00

10 PLEURAL BIOPSY 550.00 865.00 865.00 865.00 865.00 865.00

11 PLEURAL TAPPING - DIAGNOSTIC 750.00 1100.00 1100.00 1100.00 1100.00 1100.00

12 PLEURAL TAPPING THERAPEUCTIC 750.00 1100.00 1100.00 1100.00 1100.00 1100.00

13 SLEEP STUDY 7000.00 7250.00 7500.00 8000.00 8000.00 8000.00

14 SPIROMETRY WITH DRUGS 500.00 600.00 600.00 600.00 600.00 600.00

15 THORASCOPY 7000.00 7750.00 8250.00 9000.00 9000.00 9000.00

16 FENO TESTING 600.00 600.00 600.00 600.00 600.00 600.00

17 EBUS (Endobronchial Ultrasound) 25000.00 25000.00 25000.00 25000.00 25000.00 25000.00

18 Anesthesia Charge for EBUS 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00

19 FORCED IMPULSE OSCILLOMETRY (FIO) 600.00 600.00 600.00 600.00 600.00 600.00

20 CARDIO PULMONARY EXERCISE TESTING (CPET) 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00

21 CRYO BIOPSY 15000.00 15000.00 15000.00 15000.00 15000.00 15000.00

 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF UROLOGY w.e.f. 28.08.2023

OPD/ EXECUTIV
SEMI. SUPER
S.N. PARTICULARS GEN. PRIVATE DELUXE E
PRIVATE DELUXE
WARD DELUXE
URODYNAMICS LAB
1 UROFLOMETRY (UFM) 450.00 500.00 600.00 700.00 800.00 900.00

2 CYSTOSCOPY & BIOPSY 2500.00 2900.00 3300.00 3800.00 4400.00 5100.00

3 TROCAR SPC 2500.00 2900.00 3300.00 3800.00 4400.00 5100.00

4 ULTRASOUND GUIDED PCN 6500.00 7500.00 8600.00 9900.00 11400.00 13100.00

UROLOGY PROCEDURES
1 AMPUTATION OF PENIS - PARTIAL 9850.00 11300.00 13000.00 15000.00 17300.00 19900.00

2 AMPUTATION OF PENIS - TOTAL 16500.00 19000.00 21900.00 25200.00 29000.00 33400.00

3 AV FISTULA 4500.00 5200.00 6000.00 6900.00 7900.00 9100.00

4 BALDDER NECK RESECTION 9500.00 10900.00 12500.00 14400.00 16600.00 19100.00

5 CLOT EVACUATION 3500.00 4000.00 4600.00 5300.00 6100.00 7000.00

6 COMPLEX VVF REPAIR 18506.00 21300.00 24500.00 28200.00 32400.00 37300.00

7 CYSTO LITHOTOMY 9500.00 10900.00 12500.00 14400.00 16600.00 19100.00

8 CYSTOLITHOTRIPSY 9500.00 10900.00 12500.00 14400.00 16600.00 19100.00

9 CYSTOSCOPY 2500.00 2900.00 3300.00 3800.00 4400.00 5100.00

10 CYSTOSCOPY REPEAT 2500.00 2900.00 3300.00 3800.00 4400.00 5100.00

11 DIAGNOSTIC URS 9500.00 10900.00 12500.00 14400.00 16600.00 19100.00

12 DIAGNOSTIC LAPAROSCOPY 9800.00 11300.00 13000.00 15000.00 17300.00 19900.00

13 DIAGNOSTIC LAPAROSCOPY 9800.00 11300.00 13000.00 15000.00 17300.00 19900.00

14 DIAGNOSTIC URS WITH OPERATION 14500.00 16700.00 19200.00 22100.00 25400.00 29200.00

15 DJ REMOVAL 2500.00 2900.00 3300.00 3800.00 4400.00 5100.00

16 ENDOSCOPIC BIOPSY 3250.00 3700.00 4300.00 4900.00 5600.00 6400.00

17 ENDOSCOPIC REMOVAL OF FB 6500.00 7500.00 8600.00 9900.00 11400.00 13100.00

18 HIGH ORCHIDECTOMY 9500.00 10900.00 12500.00 14400.00 16600.00 19100.00

19 LAPAROSCOPIC NEPHRECTOMY 18500.00 21300.00 24500.00 28200.00 32400.00 37300.00

20 LAPAROSCOPIC NEPHRECTOMY (GR 4) 18500.00 21300.00 24500.00 28200.00 32400.00 37300.00

21 LAPAROSCOPIC PYELOPLASTY 22500.00 25900.00 29800.00 34300.00 39400.00 45300.00

22 LAPAROSCOPIC PYELOPLASTY 22500.00 25900.00 29800.00 34300.00 39400.00 45300.00

23 MEATOPLASTY 4500.00 5200.00 6000.00 6900.00 7900.00 9100.00

24 MEATOTOMY 2625.00 3000.00 3500.00 4000.00 4600.00 5300.00

25 NEPHRECTOMY 16500.00 19000.00 21900.00 25200.00 29000.00 33400.00

26 NEPHRO URETERECTOMY 18500.00 21300.00 24500.00 28200.00 32400.00 37300.00

27 NEPHROLITHOTOMY 16500.00 19000.00 21900.00 25200.00 29000.00 33400.00

28 NEPHROSTOMY 9500.00 10900.00 12500.00 14400.00 16600.00 19100.00

29 OPTICAL INTERNAL UERTHROTOMY 12650.00 14500.00 16700.00 19200.00 22100.00 25400.00

30 ORCHIDECTOMY 9500.00 10900.00 12500.00 14400.00 16600.00 19100.00

 OPD/ EXECUTIV
SEMI. SUPER
S.N. PARTICULARS GEN. PRIVATE DELUXE E
PRIVATE DELUXE
WARD DELUXE
31 ORCHIDECTOMY BILATERAL 9500.00 10900.00 12500.00 14400.00 16600.00 19100.00

32 ORCHIDOPEXY 12500.00 14400.00 16600.00 19100.00 22000.00 25300.00

33 ORCHIDOPEXY BILATERAL 18500.00 21300.00 24500.00 28200.00 32400.00 37300.00

34 PARTIAL CYSTECTOMY 18125.00 20800.00 23900.00 27500.00 31600.00 36300.00

35 PARTIAL NEPHRECTOMY 18125.00 20800.00 23900.00 27500.00 31600.00 36300.00

36 PC FAILED NEPHROLITHOPOMY 12800.00 14700.00 16900.00 19400.00 22300.00 25600.00

37 PC NEPHROLITHOPOMY 12800.00 14700.00 16900.00 19400.00 22300.00 25600.00

38 PERINEPHRIC ABSCESS DRAIN 9500.00 10900.00 12500.00 14400.00 16600.00 19100.00

39 PROSTATECTOMY MILLINS 16800.00 19300.00 22200.00 25500.00 29300.00 33700.00

40 PROSTATECTOMY FRAYERS 16800.00 19300.00 22200.00 25500.00 29300.00 33700.00

41 PUV FULGRATION 12500.00 14400.00 16600.00 19100.00 22000.00 25300.00

42 PYELOLITHOTOMY 12800.00 14700.00 16900.00 19400.00 22300.00 25600.00

43 PYELOLOTHOROMY + PYELOPLASTY 18500.00 21300.00 24500.00 28200.00 32400.00 37300.00

44 PYELOPLASTY 18500.00 21300.00 24500.00 28200.00 32400.00 37300.00

45 RADICAL NEPHROURETERECTOM 18500.00 21300.00 24500.00 28200.00 32400.00 37300.00

46 REPAIR OF BLADDER TEAR 9500.00 10900.00 12500.00 14400.00 16600.00 19100.00

47 REPAIR OF VESICAL / URETHRAL FISTULA 18500.00 21300.00 24500.00 28200.00 32400.00 37300.00

48 SUPRAPUBIC CYSTOSTOMY 6500.00 7500.00 8600.00 9900.00 11400.00 13100.00

49 TOTAL CYSTECTOMY 32850.00 37800.00 43500.00 50000.00 57500.00 66100.00

50 TRANS. RESECTION OF PROSTATE (TURP) 12500.00 14400.00 16600.00 19100.00 22000.00 25300.00

51 TROCAR SPC 2500.00 2900.00 3300.00 3800.00 4400.00 5100.00

52 URETERIC REIMPLANTAION 12500.00 14400.00 16600.00 19100.00 22000.00 25300.00

53 URETERIC REIMPLANTATION 12500.00 14400.00 16600.00 19100.00 22000.00 25300.00

54 URETERIC STENTING 6500.00 7500.00 8600.00 9900.00 11400.00 13100.00

55 URETERO LITHOTOMY 12650.00 14500.00 16700.00 19200.00 22100.00 25400.00

56 URETHERAL DILATATION 2500.00 2900.00 3300.00 3800.00 4400.00 5100.00

57 URETHROPLASTY - SINGLE 9850.00 11300.00 13000.00 15000.00 17300.00 19900.00

58 URETHROPLASTY FIRST 9850.00 11300.00 13000.00 15000.00 17300.00 19900.00

59 URETHROPLASTY SECOND 12650.00 14500.00 16700.00 19200.00 22100.00 25400.00

60 URETHROPLASTY TRANSPUBIC 18800.00 21600.00 24800.00 28500.00 32800.00 37700.00

61 URSL 12650.00 14500.00 16700.00 19200.00 22100.00 25400.00

62 VESICOTOMY 6800.00 7800.00 9000.00 10400.00 12000.00 13800.00

63 VISUAL INTERNAL URETHROTOMY 12650.00 14500.00 16700.00 19200.00 22100.00 25400.00

64 VISUAL INTERNAL URETHROTOMY 12650.00 14500.00 16700.00 19200.00 22100.00 25400.00

UROLOGY PACKAGES
LITHOTRIPSY
1 9800.00 12300.00 14100.00 16200.00 18600.00 21400.00
(STONE SIZE UPTO 1 CMS)
LITHOTRIPSY
2 14600.00 18300.00 21000.00 24200.00 27800.00 32000.00
(STONE SIZE 1 CMS TO 2 CMS)
LITHOTRIPSY
3 18500.00 23100.00 26600.00 30600.00 35200.00 40500.00
(STONE SIZE ABOVE 2 CMS)
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF CARDIOLOGY PROCEDURES

OPD/ SEMI. EXECUTIVE SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE
NON INVASIVE LAB PROCEDURES
1 CAROTID DOPPLER 1260.00 1260.00 1260.00 1260.00 1260.00 1260.00

2 COLOUR DOPPLER (2D ECHO) 1260.00 1260.00 1260.00 1260.00 1260.00 1260.00

3 ECHO SCREENING 735.00 735.00 735.00 735.00 735.00 735.00

4 ECHO STRESS 1680.00 1680.00 1680.00 1680.00 1680.00 1680.00

5 FETAL ECHO 1050.00 1050.00 1050.00 1050.00 1050.00 1050.00

6 HOLTER TEST 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00

7 RESUSEITATION TRIAL 525.00 525.00 525.00 525.00 525.00 525.00

8 TRANSESOPHAGEAL ECHO CARDIGRAPHY 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00

9 TREAD MILL TEST(TMT) 1155.00 1155.00 1155.00 1155.00 1155.00 1155.00

10 ACT CARTRIDGE (PER CARTRIDGE) 320.00 320.00 320.00 320.00 320.00 320.00
CARDIOLOGY PACKAGES
1 ARTOGRAM 7350.00 9190.00 11025.00

2 BALOON VALVOTOMY 36750.00 47250.00 52500.00

3 CAROTID ANGIOGRAPHY 8400.00 10500.00 12600.00

4 CORONARY ANGIOGRAPHY 12600.00 13650.00 14700.00

64400 G.W.
5 CORONARY ANGIOPLASTY 99400.00 114000.00 121400.00 131400.00 141400.00
79400 CCW.
6 DEVICE CLOSER ASD/PDA/VSD 31500.00 42000.00 47250.00

7 EXTRANAL PACEMAKER 8400.00 10500.00 12600.00

8 IABP 26250.00 26250.00 26250.00

9 I A B P SPECIAL 42000.00 42000.00 42000.00

10 PACEMAKER (DOUBLE CHAMBER) 26250.00 31500.00 36750.00

11 PACEMAKER (SINGLE CHAMBER) 21000.00 26250.00 31500.00

12 PARIPHERAL LIMB ANGIOGRAPHY 8400.00 10500.00 12600.00

13 PULMONARY ARTERY ASSESMENT 5250.00 6560.00 7880.00

14 VENTICULAROGRAPHY 5250.00 6560.00 7880.00

OTHER CATH LAB CAHRGES
1 CATH LAB CD CHARGES 525.00 525.00 525.00 525.00 525.00 525.00
2 FILM CHRG FOR DSA BRAIN ANGIOGRAPHY 525.00 525.00 525.00 525.00 525.00 525.00

CARDIOLOGY PROCEDURES
1 TEMPORARY PACEMAKER (WITHOUT BLOOD INVESTIGATION) 5250.00 5250.00 5250.00 5250.00 5250.00 5250.00
2 EXTERNAL PACEMAKER PROCEDURE CHARGES 2520.00 3150.00 3780.00 0.00 0.00 0.00
3 NON CORONARY ANGIOPLASTY 8665.00 0.00 0.00 0.00 0.00 0.00
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF ONCOLOGY SURGICAL PROCEDURES
0 15% 15% 15% 10% 10%
w.e.f.- 01.03.2023
OPD/ SEMI. EXECUTIVE SUPER
S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE
HEAD AND NECK ONCOSURGERY

1 HEMI THYROIDECTOMY 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00

2 WIDE EXCISION (HEAD & NECK) 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00

3 MODIFIED RADICAL NECK DISSECTION (MRND) 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

4 SUB TOTAL /PARTIAL MAXILLECTOMY 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

5 SUPERFICIAL PAROTIDECTOMY 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00

6 MYOCUTANEOUS FLAP (PMMC) 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

7 TOTAL MAXILLECTOMY 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00

8 TOTAL PAROTIDECTOMY 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

9 TOTAL THYROIDECTOMY 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

10 WIDE EXCISION + MRND 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00

11 WIDE EXCISION+MRND+SM+PMMC RECONSTRUCTION 65000.00 74800.00 81300.00 84500.00 97500.00 113800.00

12 WIDE EXCISION+MRND+SM +UA+PMMC RECONSTRUCTION 70000.00 80500.00 92580.00 106470.00 117120.00 128830.00

13 TOTAL LARYNGECTOMY 70000.00 80500.00 92580.00 106470.00 117120.00 128830.00

14 FASCIOCUTANEOUS FLAP 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00

15 TRACHEOSTOMY 10000.00 11500.00 13230.00 15210.00 16730.00 18400.00

16 RADICAL NECK DISSECTION (RND) 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

G I ONCOSURGERY

1 SMALL BOWEL RESECTION ANASTOMOSIS 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00

2 RT HEMICOLECTOMY 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

3 LT HEMICOLECTOMY 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

4 TOTAL COLECTOMY 60000.00 69000.00 79350.00 91250.00 100380.00 110420.00

5 DISTAL PANCREATECTOMY + SPLEENECTOMY 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

6 RADICAL CHOLECYSTECTOMY 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00

7 ABDOMINOPERINEAL RESECTION 60000.00 69000.00 79350.00 91250.00 100380.00 110420.00

8 DISTAL RADICAL GASTRECTOMY & ROUX -Y GASTRO-JEJUN 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

9 WHIPPLES PROCEDURE 90000.00 103500.00 119030.00 136880.00 150570.00 165630.00

10 TOTAL ESOPHAGECTOMY + GASTRIC PULL UP 90000.00 103500.00 119030.00 136880.00 150570.00 165630.00

11 IVOR-LEWIS PROCEDURE 85000.00 97750.00 112410.00 129270.00 142200.00 156420.00

12 TOTAL RADICAL GASTRECTOMY & ROUX -Y ESOPHAGO-JEJUN 70000.00 80500.00 87500.00 91000.00 105000.00 122500.00

13 STOMA MAKING 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00

14 STOMA CLOSURE 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00

15 GASTRO JEJUROSTOMY 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00

16 FEEDING JEJUROSTOMY 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00

17 ROUX EN Y ANASTOMOSIS 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00

18 RPLND 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00

19 OMENTCETOMY 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00

20 TRIPPLE BY PASS (FOR PANCREAS) 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

21 ANTERIOR PELVIC EXENTERATION 80000.00 92000.00 105800.00 121670.00 133840.00 147220.00

22 POSTERIOR PELVIC EXENTERATION 80000.00 92000.00 105800.00 121670.00 133840.00 147220.00

23 TOTAL PELVIC EXENTERATION 90000.00 103500.00 119030.00 136880.00 150570.00 165630.00

24 EXPLORATORY LAPAROTOMY & DIVERSION 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00

25 EXPLORATORY LAPAROTOMY & DIVERSION BY PASS 50000.00 57500.00 66130.00 76050.00 83660.00 92030.00

26 HEPATIC SEGMENTAL RESECTION 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

GENITO URINARY ONCOSURGERY

1 PARA AORTIC NODE DISSECTION 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00

2 PARTIAL PENECTOMY 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00

3 UNILATERAL INGUINAL NODE DISSECTION 20000.00 23000.00 26450.00 30420.00 33460.00 36810.00
 w.e.f.- 01.03.2023
4 BILATERAL PELVIC NODE DISSECTION (BPLND) 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00

5 TOTAL PENECTOMY 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00

6 BILATERAL INGUINAL NODE DISSECTION 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00

7 RADICAL NEPHRECTOMY 40000.00 46000.00 50000.00 52000.00 60000.00 70000.00

8 STAGING LAPAROTOMY 45000.00 51750.00 59510.00 68440.00 75280.00 82810.00

9 INTERVAL CYTOREDUCTION 45000.00 51750.00 59510.00 68440.00 75280.00 82810.00

10 RADICAL CYSTECTOMY + HEAL CONDUIT 90000.00 103500.00 119030.00 136880.00 150570.00 165630.00

11 RADICAL PENECTOMY 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00

12 RADICAL CYSTECTOMY + URETEROSIGMOIDOSTOMY 85000.00 97750.00 112410.00 129270.00 142200.00 156420.00

13 ORCHIECTOMY (HIGH INGUINAL) 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00

14 GERM CELL TUMORS EXCISION 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00

15 PARTIAL NEPHRECTOMY 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

16 ADRENALECTOMY 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00

17 TYPE I TAH + B 50 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00

18 TYPE II/III TAH +B50 45000.00 51750.00 59510.00 68440.00 75280.00 82810.00

19 RADICAL VULVECTOMY 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00

BREAST ONCOSURGERY

1 TRU -CUT BIOPSY PROCEDURE 5000.00 5750.00 6610.00 7600.00 8360.00 9200.00

2 WIDE EXCISION (BREAST) 17500.00 20100.00 21900.00 22800.00 26300.00 30600.00

3 AXILLARY DISSECTION 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00

4 LATISSIMUS DORSI FLAP (L D FLAP) 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00

5 MODIFIED RADICAL MASTECTOMY (MRM) 45000.00 51750.00 59510.00 68440.00 75280.00 82810.00

6 BREAST CONSERVATION SURGERY 45000.00 51750.00 59510.00 68440.00 75280.00 82810.00

7 CHEMO PORT INSERTION 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00

8 CHEMO PORT REMOVAL 8000.00 9200.00 10580.00 12170.00 13390.00 14730.00

BONE & SOFT TISSUE ONCOSURGERY

1 SKIN TUMORWS WIDE EXCISION (MINOR) 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00

2 SKIN TUMORWS WIDE EXCISION (MAJOR) 35000.00 40250.00 46290.00 53230.00 58550.00 64410.00

3 (SMALL) SOFT TISSUE TUMAR EXCISION 25000.00 28750.00 33060.00 38020.00 41820.00 46000.00

4 (LARGE) SOFT TISSUE TUMAR EXCISION 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

5 BONE TUMAR EXCISION (SMALL) 35000.00 40250.00 46290.00 53230.00 58550.00 64410.00

6 BONE TUMAR EXCISION (LARGE) 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

7 LUNG SEGMENTAL RESECTION 40000.00 46000.00 52900.00 60840.00 66920.00 73610.00

8 LUNG LOBECTOMY 75000.00 86250.00 99190.00 114070.00 125480.00 138030.00

OTHER ONCOSURGERY PROCEDURE CHARGES

1 SELECTIVE NODE DISSECTION (SND) 17500.00 20100.00 21900.00 22800.00 26300.00 30600.00

2 NASIO - LABIAL FLAP 13125.00 16275.00 19425.00 22575.00 25725.00 28875.00

3 SUB - MENTAL FLAP 13125.00 16275.00 19425.00 22575.00 25725.00 28875.00

4 RADIAL PAROTIDECTOMY 35000.00 40250.00 46290.00 53230.00 58550.00 64410.00

5 WIDE EXCESION + MRND + MM + RECONSTRUCTION 60000.00 69000.00 79350.00 91250.00 100380.00 110420.00

6 DISTAL PANCREATECTOMY 30000.00 34500.00 39680.00 45630.00 50190.00 55210.00

7 ANTERIOR RESECTION 60000.00 69000.00 79350.00 91250.00 100380.00 110420.00

8 ANTERIOR RESECTION+ILESTOMY/COLOSTOMY 55000.00 63250.00 72740.00 83650.00 92020.00 101220.00

9 RADICAL HYSTERECTOMY TYPE 01 40000.00 46000.00 50000.00 52000.00 60000.00 70000.00

10 WERTHEIMS HYSTERECTOMY 42000.00 48300.00 54600.00 60900.00 67200.00 73500.00

11 THORACO EPIGASTRIC FLAP 15000.00 17250.00 19840.00 22820.00 25100.00 27610.00

12 MEDIASTINAL LYMPH NODE DISSECTION 30000.00 34500.00 37500.00 39000.00 45000.00 52500.00

13 LUNG PNEUMONECTOMY 90000.00 103500.00 112500.00 117000.00 135000.00 157500.00

14 HI PEC+ICR 140000.00 161000.00 175000.00 182000.00 210000.00 245000.00

 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF GASTRO SURGERY PROCEDURES

OPD/ SEMI. EXECUTIVE SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE
1 CRRT/DAY 3150.00 3150.00 3150.00 3150.00 3150.00 3150.00

2 ISOLATED ULTRAFILTRATION 945.00 1050.00 1260.00 1365.00 1470.00 1575.00

KIDNEY BIOPSY UNDER ULTRASOUND
3 2100.00 2625.00 2890.00 3150.00 3415.00 3675.00
GUIDENCE WITH GUNUN
4 PLASMAPHRESIS 2100.00 2365.00 2625.00 2890.00 3150.00 3415.00

5 BIOPSY PROCEDURE 210.00 210.00 210.00 210.00 210.00 210.00

INJECTION TREATMENT OF
6 525.00 655.00 790.00 1050.00 1315.00 1575.00
HAEMORRHOIDS- PILES (GR 0)
7 RECTAL BIOPSY 525.00 655.00 790.00 1050.00 1315.00 1575.00

8 ASPIRATION OF LIVER ABSCESS 525.00 655.00 790.00 1050.00 1315.00 1575.00

9 EMERGENCY PROCEDURE CHRAGES 1050.00 1050.00 1050.00 1050.00 1050.00 1050.00

10 ANAL STRETCH 1050.00 1315.00 1575.00 1840.00 2100.00 2365.00

FISTULOTOMY II STAGE - SETON
11 1050.00 1315.00 1575.00 1840.00 2100.00 2365.00
REMOVAL(GR I)
12 BAND LIGATION OF HAEMORRHOIDS(GR I) 1050.00 1315.00 1575.00 1840.00 2100.00 2365.00

13 GLAND BIOPSY 1050.00 1315.00 1575.00 1840.00 2100.00 2365.00

14 HYDROCOELE OPERATION UNILATERAL 1050.00 1315.00 1575.00 1840.00 2100.00 2365.00

15 I & D GA 1050.00 1315.00 1575.00 1840.00 2100.00 2365.00

REMOVAL OF SUPERFICIAL TUMARS - ALL
16 1050.00 1315.00 1575.00 1840.00 2100.00 2365.00
MINOR OP.(GR I
17 VASECTOMY(GR I) 1050.00 1315.00 1575.00 2100.00 2365.00 2625.00
EXCISION OF SMALL SWELLINGS,
18 1050.00 1575.00 2625.00 3675.00 3940.00 4200.00
SEBACIOUS CYSTS(GR I)
19 FIBROADENONA EXCITION 2100.00 2625.00 3675.00 4725.00 4990.00 5250.00

20 CHOLECYSTECTOMY(OPEN) 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

21 CHOLECYSTOSTOMY 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

COLOSTOMY ONLY LOOP DOUBLE BARREL
22 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00
SPECTACLE(GR II)
23 CRYOHAEMORRHOIDECTOMY 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

24 FEEDING JEJUNOSTOMY 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

25 FISTULECTOMY / FISTULOITOMY 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

26 GASTROSTOMY 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

27 HYDROCOELE OPERATION BILATERAL 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

28 LLEOSTOMY(GR II) 2625.00 3280.00 3940.00 5250.00 5775.00 6300.00

29 INGUINAL HERNIOTOMY 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

30 FEMORAL HERNIA REPAIR 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

31 INGUINAL HERNIA REPAIR 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

32 PILONIDAL SINUS EXCISION 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

LAPROSCOPIC CHOLECYSTECOMY (GB)
33 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00
PRO. CHG.
34 LAPROSCOPIC APENDICTOMY PRO. CHG. 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

35 TRACHEOSTOMY 2625.00 3255.00 3940.00 4200.00 4725.00 5250.00

36 CYSTOGASTROSTOMY 4200.00 4200.00 4200.00 4200.00 4200.00 4200.00

Page 75 of 83
 OPD/ SEMI. EXECUTIVE SUPER
S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE
37 FISSURECTOMY & SPHINCTECTOMY 2625.00 3675.00 4725.00 5250.00 6300.00 7350.00

38 HAEMORRHOIDECTOMY 2625.00 3675.00 4725.00 5250.00 6300.00 7350.00

39 APPENDICECTOMY(OPEN) 2625.00 3675.00 4725.00 5250.00 6300.00 7350.00

40 VARICOCOELE OPERATION 2625.00 3675.00 4725.00 5250.00 6300.00 7350.00

41 SIMPLE MASTECTOMY 2625.00 3675.00 4725.00 5250.00 6300.00 7350.00

42 ACHLASIA BALLOON DILATION 5250.00 5250.00 5250.00 5250.00 6300.00 7350.00

43 CLOSURE OF COLOSTOMY 4200.00 5250.00 6300.00 7350.00 8400.00 9450.00

44 LAPROSCOPY DIAGNOSTIC 4200.00 5250.00 6300.00 7350.00 8400.00 9450.00

45 INCISIONAL HERNIA REPAIR 4200.00 5250.00 6300.00 7350.00 8400.00 9450.00

LARGE SOFT TISSUE TUMOUR EXCISION-
46 4200.00 5250.00 6300.00 7350.00 8400.00 9450.00
LIPOMA/SAR(GR IV
47 LUMBAR SYMPATHECTOMY V/L 4200.00 5250.00 6300.00 7350.00 8400.00 9450.00
UMBILICAL &PARAUMBILICAL HERNIA
48 4200.00 5250.00 6300.00 7350.00 8400.00 9450.00
REPAIR(GR IV)
49 ICD 4200.00 5250.00 6300.00 7350.00 8400.00 9450.00

50 VARICOSE VEINS STRIPPING(GR III) 5250.00 6300.00 7875.00 8925.00 9450.00 10500.00
CHOLECYSTECTOMY WITH C.B.D
51 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00
EXPLORATION(GR IV)
CLOSURE OF DUOENAL & GASTRIC
52 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00
PERFORATION
CLOSURE OF SMALL BOWEL
53 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00
PERFORATION(GR IV)
CYSTO GASTROSTOMY FOR PANCREATIC
54 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00
PSEUDOCYST
EXTERNAL DEVASULARISATION
55 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00
OESOPHAEAL VARICES(GR IV
56 LYMPHANGIOMA 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

57 MECKEL'S DIVERTICULECTOMY(GR IV) 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

58 RADICAL MASTECTOMY(GR IV) 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

EMERGRNCY LAPROTOMY - MAJOR(EG.
59 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00
D.P.,E.P)(GR IV)
60 SMALL BOWEL RESECTION 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

61 SMALL BOWEL STRICTUROPLASTY 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

62 PARTIAL THYROIDECTOMY 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

63 TRANSVERSE COLECTOMY(GR IV) 6825.00 8530.00 10240.00 11025.00 12075.00 13125.00

64 ANAL SPHINCTER REPAIR 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

65 ANTERIOR RESECTION 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

66 GASTRECTOMY-PARTIAL(GR V) 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

67 LEFT HEMICOLECTOMY 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

68 RIGHT HEMICOLECTOMY 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

69 SIGMOLD COLECTOMY 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

SIMPLE MASTECTOMY WITH AUXILLARY
70 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00
CLEARANCE(GR V)
71 SPLENECTOMY 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

72 SUBTOTAL COLECTOMY 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

TRUNCAL VAGOTOMY &
73 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00
GATROJEUNOSTOMY

Page 76 of 83
 OPD/ SEMI. EXECUTIVE SUPER
S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE
74 VAGOTOMY AND PYLOROPLASTY(GR V) 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00
LAPROSCOPIC ADVANCE SURGERIES PROC
75 6825.00 8530.00 10240.00 11025.00 12075.00 13125.00
CHARGES
76 THORACOTAMY OPEN DRAINAGE 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

77 COLECTOMY 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

78 RADICAL NECK TISSUTION V/L 6825.00 8505.00 10240.00 11025.00 12075.00 13125.00

79 ABDOMINO SACROPERINEAL PULL 9975.00 12495.00 14965.00 16275.00 17850.00 18900.00

THROUGH
80 GASTRECTOMY-TOTAL 9975.00 12495.00 14965.00 16275.00 17850.00 18900.00

81 SINGLE STAGE BREAST RECONSTRUCTION 9975.00 12495.00 14965.00 16275.00 17850.00 18900.00

82 PROFUNDO PLASTY 9975.00 12495.00 14965.00 16275.00 17850.00 18900.00

83 TOTAL THYROIDECTOMY 9975.00 12495.00 14965.00 16275.00 17850.00 18900.00

84 TOTAL PAROTIDECTOMY 9975.00 12495.00 14965.00 16275.00 17850.00 18900.00

TRIPLE RESECTION&RESURGERY FOR
85 9975.00 12495.00 14965.00 16275.00 17850.00 18900.00
PEPTIC ULCER(GR VI)
86 THORACOTAMY & DECORTICATION 9975.00 12495.00 14965.00 16275.00 17850.00 18900.00

87 HEMIGLOSSUTMY WITH NECK DISSECTION 9975.00 12495.00 14965.00 16275.00 17850.00 18900.00

88 RADICAL NECK TISSUTION B/L 9975.00 12495.00 14965.00 16275.00 17850.00 18900.00

89 ABDOMINO PERINEAL RESSECTION(GR VI) 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00
CHOLEDOCHO
90 DUODENOSTOMY/TRANSDUODENAL 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00
SPHINC(GR VI
HEPATICO-JEJUNOSTOMY-INTRA
91 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00
HEPATIC(GR VI)
92 IVOR-LEWIS 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

93 LEFT HEMI-HEPATECTOMY 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

94 OESOPHAGO GASTRECTOMY 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

95 PANCREATIC JEJUNOSTOMY 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

PANCREATO DUODENECTOMY-
96 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00
WHIPPLE'S(Gr VI)
97 PARTIAL PANCREATECTOMY 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

98 PORTO CAVAL SHUNT 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

99 PROXIMAL SPLENO RENAL SHUNT 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00
RIGHT HEMIHEPATECTOMY EXTERNAL
100 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00
HEPTATICOJEJU(Gr VI
SPLENECTOMY,EXTERNAL GASTRIC
101 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00
DEVASC&TRANSC(Gr VI)
102 SEGMENTAL HEPATIC RESECTION 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00
SHUNT SURGERY FOR PORTAL
103 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00
HYPERTENSION
104 TOTAL COLECTOMY WITH POUCH(Gr VI) 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

105 TOTAL COLECTOMY/PROCTO COLECTOMY 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

106 RADICAL PAROTIDECTOMY 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

107 RADICAL THYROIDECTOMY 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

EMERGENCY LAPROTOMY-SUPRA MAJOR
108 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00
(EG.LIVER SE(Gr VI
109 TRANS HIATAL 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

Page 77 of 83
 OPD/ SEMI. EXECUTIVE SUPER
S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE
110 EXTENDED (RADICAL) CHOLEYSTOLY 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

111 TOTAL LARYGUTOMY 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

112 PNUEMONUTAMY 13125.00 16380.00 19690.00 22050.00 23625.00 26250.00

113 COMMONDO WITH RECOSTRUCTION 15750.00 19690.00 23625.00 26250.00 28350.00 30450.00

114 GLOSSERT WITH RECONSTRUCTION 15750.00 19690.00 23625.00 26250.00 28350.00 30450.00

Page 78 of 83
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF RADIOTHERAPY PROCEDURES

OPD/ SEMI. EXECUTIVE SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE DELUXE DELUXE
1 3D PALLIATIVE 47250.00 47250.00 47250.00 47250.00 47250.00 47250.00

2 BLOOD IRRADIATION 5-10 BAGS 5250.00 5250.00 5250.00 5250.00 5250.00 5250.00

3 BLOOD IRRADIATION 5 BAGS 3675.00 3675.00 3675.00 3675.00 3675.00 3675.00

4 BLOOD IRRADIATION 10 BAGS 7350.00 7350.00 7350.00 7350.00 7350.00 7350.00

5 BOOST 36750.00 36750.00 36750.00 36750.00 36750.00 36750.00

ELECTRON BEAM WITH LINEAR
6 89250.00 89250.00 89250.00 89250.00 89250.00 89250.00
ACCELERATOR
7 ENTERSTITIAL 63000.00 63000.00 63000.00 63000.00 63000.00 63000.00

8 HEMI BODY 10500.00 10500.00 10500.00 10500.00 10500.00 10500.00

9 IGRT (IMAGE GUIDED RADIOTHERAPY) 157500.00 157500.00 157500.00 157500.00 157500.00 157500.00
IMRT (INTENSITY MODULATED
10 126000.00 126000.00 126000.00 126000.00 126000.00 126000.00
RADIOTHERAPY)
11 IMRT PALLIATIVE 57750.00 57750.00 57750.00 57750.00 57750.00 57750.00

12 INTRALUMINAL 15750.00 15750.00 15750.00 15750.00 15750.00 15750.00

13 PALLIATIVE FRACTION CHG. 26250.00 26250.00 26250.00 26250.00 26250.00 26250.00

14 RADICAL TREATEMENT (3D-CRT) 63000.00 63000.00 63000.00 63000.00 63000.00 63000.00

RADICAL TREATEMENT
15 47250.00 47250.00 47250.00 47250.00 47250.00 47250.00
(CONVENTIONAL)
16 RADIO THAREPHY RAGISTRATION 105.00 105.00 105.00 105.00 105.00 105.00
RESPIRATORY GATING WITH LINEAR
17 231000.00 231000.00 231000.00 231000.00 231000.00 231000.00
ACCELERATOR PLANER
SRS (STEREOTACTIC RADIOTHERAPY
18 136500.00 136500.00 136500.00 136500.00 136500.00 136500.00
SURGERY )
19 SRT (STEREOTACTIC RADIOTHERAPY) 157500.00 157500.00 157500.00 157500.00 157500.00 157500.00

20 SURFACE MOULD 6300.00 6300.00 6300.00 6300.00 6300.00 6300.00

21 TBI 26250.00 26250.00 26250.00 26250.00 26250.00 26250.00

22 VMAT 160000.00 160000.00 160000.00 160000.00 160000.00 160000.00

23 VMAT -IGRT 200000.00 200000.00 200000.00 200000.00 200000.00 200000.00

 SRMS IMS BAREILLY
RATE LIST OF AMBULANCE

S.NO. PARTICULAR AMT

CARDIAC AMBULANCE PACKAGES
1 CARDIAC CARE AMBULANCE BAREILLY LOCAL CHRG 2730.00
2 CARDIAC CARE AMBULANCE AROUND 100KM CHRG 11550.00
3 CARDIAC CARE AMBULANCE DELHI/LUCKNOW/NOIDA/GR.NOIDA CHRG 28000.00
4 CARDIAC CARE AMBULANCE (GURGAON/MEDANTA/KANPUR) 30000.00
PET CT AMBULANCE
5 PET CT AMBULANCE 7500.00
NON A/C AMBULANCES
6 AMBULANCE NON/AC (UPTO 15 KM) 265.00
7 AMBULANCE NON/AC PER KM ( AFTER 15 KM) 10.00
8 AMBULANCE NON/AC FROM CITY CENTRE 525.00
9 AMBULANCE NON/AC FROM DHORA CENTRE 160.00
A/C AMBULANCES
10 AMBULANCE A/C (UPTO 15 KM) 370.00
11 AMBULANCE A/C PER KM ( AFTER 15 KM ) 15.00
12 AMBULANCE A/C FROM CITY CENTRE (UHTC) 600.00
TAXI FOR STAFF USE ONLY
13 TAXI CHARGES (UP TO 15 KM) 500.00
14 TAXI CHARGES PER KM 10.00
SWARGDHAM VAN CHARGES
15 SWARGDHAM CHARGES (UP TO 35 K.M) 685.00
16 SWARGDHAM CHARGES ( AFTER 35 K.M) 10.00
OTHER CHARGES
17 CONSULTANT FEES (DELHI/LUCKNOW) 4000.00
18 MEDICAL OFFICER FEES 1050.00
19 MALE NURSE CHRG (AC AMBULANCE) 525.00
20 MALE NURSE CHRG (NON / AC AMBULANCE) 525.00
MEDICINE & CONSUMABLE CHARGES
21 MEDICINE AND CONSUMABLE AS PER USES
22 NON SILICON AMBU BAG AS PER USES
23 SILICON AMBU BAG AS PER USES
 S.R.M.S. I.M.S. BAREILLY.
RATE LIST OF DRESSING, NEBULIZATION, ECG, CATHETERIZATION & GENERAL PROCEDURE

OPD/ SEMI. EXECUTIV SUPER

S.N. PARTICULARS PRIVATE DELUXE
GEN. WARD PRIVATE E DELUXE
1 BUBBLE C-PAP (PER DAY) 1500.00 1500.00 1500.00 1500.00 1500.00 1500.00
2 C PAP 525.00 525.00 525.00 525.00 525.00 525.00
3 C ARAM CHARGES FOR ONE HOURS. 630.00 630.00 630.00 630.00 630.00 630.00
4 C ARM CHARGES MORE THAN 1 HOURS. 1260.00 1260.00 1260.00 1260.00 1260.00 1260.00
CARNIOTONE BONE CUTTER (PER
5 630.00 630.00 630.00 630.00 630.00 630.00
SURGERY)
6 EEG MONITOR CHARGES 630.00 630.00 630.00 630.00 630.00 630.00
7 ETCO2 EQUIPMENT CHARGES 315.00 315.00 315.00 315.00 315.00 315.00
8 EXT VENTICLE SET 1050.00 1050.00 1050.00 1050.00 1050.00 1050.00
9 FESS EQUIPMENT CHARGES 630.00 630.00 630.00 630.00 630.00 630.00
10 FIBEROPTIC BRONCOSCOPE 1050.00 1260.00 1470.00 1575.00 1840.00 2100.00
11 HOLMIUM LASER CHARGES 4000.00 4000.00 4000.00 4000.00 4000.00 4000.00
12 LAP MORCELATOR CHARGES 525.00 525.00 525.00 525.00 525.00 525.00

13 MICROSCOP CHARGES FOR ONE HOURS. 630.00 630.00 630.00 630.00 630.00 630.00
MICROSCOPE CHARGES FOR 1 TO 4
14 1260.00 1260.00 1260.00 1260.00 1260.00 1260.00
HOURS.
MICROSCOPE CHARGES MORE THAN 4
15 1890.00 1890.00 1890.00 1890.00 1890.00 1890.00
HOURS.
16 MONITOR 400.00 400.00 400.00 400.00 400.00 400.00
17 PHOTOTHERAPY 210.00 210.00 210.00 210.00 210.00 210.00
18 PRESSURE MONTORING KIT 1050.00 1050.00 1050.00 1050.00 1050.00 1050.00
19 PROBE CHARGE 525.00 525.00 525.00 525.00 525.00 525.00
20 PULSE OXYMETER (FOR 12 HOURS) 65.00 65.00 65.00 65.00 65.00 65.00
21 RFA CHARGES 10000.00 10000.00 10000.00 10000.00 10000.00 10000.00
22 THULIUM LASER CHARGES 3000.00 3000.00 3000.00 3000.00 3000.00 3000.00
23 TRU-CUT EQUIPMENT CHARGE 1260.00 1260.00 1260.00 1260.00 1260.00 1260.00
24 VENTILATOR FOR 12 HRS 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00
25 VENTILATOR FOR 24 HRS 2100.00 2100.00 2100.00 2100.00 2100.00 2100.00
26 ENT Marathon Drill 525.00 525.00 525.00 525.00 525.00 525.00
27 ENT Indigo Drill 1575.00 1575.00 1575.00 1575.00 1575.00 1575.00
DSA (Pain Clinic ) Equipment Charge (for
28 2000.00 2000.00 2000.00 2000.00 2000.00 2000.00
maxi. 30 minute procedure)
DSA (Pain Clinic ) Equipment Charge (for
29 2500.00 2500.00 2500.00 2500.00 2500.00 2500.00
more than 30 minute procedure)

30 DSA Equipment Charges For PTBD (up to 3000.00 3000.00 3000.00 3000.00 3000.00 3000.00
01 hrs)
31 Hemodynamic Monitor Charges 500.00 500.00 500.00 500.00 500.00 500.00
32 Morcellator Blade Charges 2000.00 2000.00 2000.00 2000.00 2000.00 2000.00
33 Thulium + Morcellator Blade Charges 5000.00 5000.00 5000.00 5000.00 5000.00 5000.00
34 ETCO2 (0-1)HRS 750.00 750.00 750.00 750.00 750.00 750.00
35 ETCO2 (0-3)HRS 1150.00 1150.00 1150.00 1150.00 1150.00 1150.00
36 ETCO2 (0-6)HRS 2350.00 2350.00 2350.00 2350.00 2350.00 2350.00
37 ETCO2 (AFTER 6 HRS)PER HRS 200.00 200.00 200.00 200.00 200.00 200.00
38 CONTINUOUS AMBULATORY BLOOD 1500.00 1500.00 1500.00 1500.00 1500.00 1500.00
PRESSURE MONITORING (CABM)
39 THERAPEUTIC HYPOTHERMIA (TH) 2000.00 2000.00 2000.00 2000.00 2000.00 2000.00
HIGH FREQUENCY OSCILLATORY
40 4000.00 4000.00 4000.00 4000.00 4000.00 4000.00
VENTILATION (HFOV)
CELEBRATION FUNCTION MONITOR
41 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00
(CFM)
 SRMS IMS BAREILLY
HOME NURSING CARE SERVICES

S.No. Particular Amt. Per Day

Home Nursing Day Care

1 450/-
(08 AM to 05 PM)

Home Nursing Night Care

2 750/-
(05 PM to 08 AM)

Home Nursing 24 Hrs. Care

3 1200/-

Note:
1. Nursing Attendant will be hired for minimum 03 days.

2. For more details kindly contact on phone no: 0581-2582000 & 9458705112.

3. TA/DA @ Rs. 50/- for day duty & Rs. 150/- for night duty will be given for
those going for Home Nursing Duties.